You are here

Allestree Health & Homecare Services Good

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

We have not inspected this service yet at this location

Inspection Summary


Overall summary & rating

Good

Updated 4 April 2017

Allestree Health and Home Care Services provides personal care and treatment for adults living in their own homes. On the day of the inspection the registered manager informed us that there were a total of 50 people receiving care from the service.

A registered manager was in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'.

Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

Risk assessments were not consistently in place to protect people from risks to their health and welfare. Staff recruitment checks were not always in place to protect people from receiving personal care from unsuitable staff.

People and relatives we spoke with told us they thought the service ensured that people received safe personal care. Staff had been trained in safeguarding (protecting people from abuse) and staff understood their responsibilities in this area.

We saw that medicines were, in the main, supplied safely and on time, to protect people's health needs.

Staff had received training to ensure they had skills and knowledge to meet people's needs, though this had not covered some relevant care issues.

Staff understood their responsibilities under the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) to allow, as much as possible, people to have effective choices about how they lived their lives.

People and relatives we spoke with all told us that staff were friendly, kind, positive and caring. They told us they had been involved in making decisions about how and what personal care was needed to meet their needs.

Care plans were individual to the people using the service to ensure that their needs were met though this did not include all relevant information such as all of people's preferences, likes and dislikes.

People and relatives told us they would tell staff or management if they had any concerns, they were confident these would be properly followed up. They were satisfied with how the service was run. Staff felt they were supported in their work by the senior management of the service.

Management carried out audits in order to check that the service was meeting people's needs and to ensure people were provided with a quality service.

Inspection areas

Safe

Requires improvement

Updated 4 April 2017

The service was not consistently safe.

Risk assessments to protect people's health and welfare were not fully in place to protect people from these risks.

Staff recruitment checks were not comprehensively robust to protect people from receiving personal care from potentially unsuitable staff. People received care at agreed times. People and their relatives thought that staff provided safe care. Staff were aware of how to report incidents to their management to protect people's safety. Medicines had, in the main, been

supplied as prescribed.

Effective

Good

Updated 4 April 2017

The service was effective.

Staff were trained, in the main, to meet people's care needs, though further training was needed to cover all of people's care needs. Staff had received support to carry out their role of providing effective care to meet people's needs. People's consent to care and treatment was sought in line with legislation and guidance. People's nutritional needs had been promoted and protected. People's health needs had been met by staff.

Caring

Good

Updated 4 April 2017

The service was caring.

People and relatives we spoke with told us that staff were kind, friendly and caring and respected people's rights. People and their relatives had been involved in setting up care plans that reflected people's needs. Staff respected people's privacy, independence and dignity.

Responsive

Good

Updated 4 April 2017

The service was responsive.

Care plans contained information on how staff should respond to people's assessed needs, though information on responding to people's preferences and lifestyles was limited. Care calls were within time to meet assessed and agreed times to provide personal care. People and their relatives were confident that any

concerns they had would be properly followed up by the registered manager. Staff had contacted other relevant services when people needed additional support.

Well-led

Good

Updated 4 April 2017

The service was well led.

People and their relatives thought it was an organised and well led service. Staff told us the senior management staff provided good support to them. They said the registered manager had a clear vision and expectation of how friendly individual care was to be provided to people to meet their needs. Systems had not

always been comprehensively been audited in order to measure whether a quality service had been provided.