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Village Homecare Requires improvement

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 7 August 2019

About the service

Village Homecare is a domiciliary care agency providing personal care to older and younger adults, living with physical disability, mental health conditions, learning disabilities and autistic spectrum disorder, dementia and people who misuse drugs and alcohol. People are supported in their own houses. At the time of our inspection there were 47 people using the service.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

At the time of our inspection the service was not supporting anyone with a learning disability or with autistic spectrum disorder this meant that we could not validate outcomes for people.

People’s experience of using this service and what we found

Medicines were not always given safely and in line with current best practice guidance. Medicine records lacked detail for as and when required medicines and individualised support plans for these medicines were not available. Staff were trained to recognise signs of abuse and knew how to report it. However, the registered manager had not fully understood their responsibility to notify CQC or the local authority of safeguarding concerns. Risk assessments were reviewed regularly to ensure safe care. Safe recruitment procedures meant that suitable staff were employed. Staff used Protective personal equipment (PPE) and good hygiene practices to prevent the spread of infection.

We found errors in record keeping that had not been identified through the internal auditing processes. The provider was in the process of implementing an electronic system to ensure better quality monitoring and oversight of the service. The registered manager worked in partnership with other professionals to ensure people were well supported and people received person centred care. Staff were well supported in their role and there was continuous learning and improvement.

People’s choices, lifestyle, religion and culture as well as their personal and health care needs were all included in the care planning process and the service worked in partnership with healthcare professionals. A training program meant people could be assured staff had the knowledge, skills and confidence to do their job.

Staff had a good understanding of working within the principles of the mental capacity act. However, we found records supporting people with decision making where it was felt they did not have capacity to make decisions were not in place. This meant people were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the systems in the service did not support this practice.

People’s needs were met by good planning and coordination of care. Regular reviews of care meant the service could respond to changes in people’s needs promptly. People had received a service user guide and knew how to make a complaint if they needed to. The service considered people’s preferences and choices around end of life decisions and was supported by other professionals with end of life care when needed.

Staff and the management team knew people well and had developed good relationships. People were respected, received dignified care and independence was promoted and supported.

Rating at last inspection

The last rating for this service was Good (published 11 November 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We identified a breach of regulation in relation to the registered managers understanding of making safeguarding referrals.

Please see the action we have told the provider to take at the end of this report.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Requires improvement

Updated 7 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 7 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 7 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 7 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 7 August 2019

The service was not always well-led.

Details are in our well-led findings below.