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Inspection Summary

Overall summary & rating


Updated 5 January 2018

Holistic Homecare is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. The registered provider informed us that at the time of this inspection, Holistic Homecare was providing a service to adults and older adults from diverse multicultural backgrounds. Fourteen people were supported by the agency. Seventeen care workers were employed by the agency. The service office is based in the S3 area of Sheffield.

There was a manager at the service who was registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC 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.

Our last inspection at Holistic Homecare took place on 28 October 2016. We found three breaches in the regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These were breaches in Regulation 12: Safe care and treatment, Regulation 17: Good governance and Regulation 19: Fit and proper persons employed.

Following the last inspection, we asked the provider to complete an action plan to show what they would do, and by when, to improve the key questions asking if the service was safe and if the service was well led, to at least good.

At this inspection, we found sufficient improvements had been made to meet the requirements of Regulation 12: Safe care and treatment, as care plans contained accurate detail regarding the support required with medicines and appropriate safeguarding training had been provided to staff.

We found sufficient improvements had been made to meet the requirements of Regulation 17: Good governance, as systems were in place to effectively monitor the quality and safety of the service.

We also found sufficient improvements had been made to meet the requirements of Regulation 19: Fit and proper persons employed, as the recruitment files checked contained full and relevant information.

This inspection took place on 15 and 18 December 2017 and was announced. We gave the registered manager 48 hours notice of our inspection to make sure the registered manager, some staff and some people receiving support would be available to meet and speak with us.

People spoke very positively about the support provided to them. They told us they felt safe and their care workers were respectful and kind.

We found there were systems in place to protect people from the risk of harm. Staff we spoke with were able to explain the procedures to follow should an allegation of abuse be made. Assessments identified risks to people, and management plans to reduce the risks were in place to ensure people's safety.

We found systems were in place to make sure people received their medicines safely so their health was looked after.

Staff recruitment procedures were robust to ensure people’s safety was promoted.

There were appropriate numbers of staff employed to meet people’s needs and provide a flexible service.

Staff were provided with relevant training so they had the skills and knowledge they needed to undertake their role.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The registered provider’s policies and systems supported this practice. People had consented to receiving care and support from Holistic homecare.

Visit times were flexible to support people’s access to health professionals to help maintain their health.

People were supported to maintain a healthy diet which took into account their culture, needs and preferences, so their health was promoted and choices could be respected.

Staff knew the people they supported very well. People’s privacy and dignity was respected and promoted. Staff understood how to support peo

Inspection areas



Updated 5 January 2018

The service was safe.

People told us they felt safe. Staff were aware of their responsibilities in keeping people safe.

Appropriate arrangements were in place for the safe administration of medicines.

The staff recruitment procedures in operation promoted people�s safety.

Staffing levels were adequate to meet the needs of people who used the service.



Updated 5 January 2018

The service was effective.

Staff were appropriately trained and supervised to provide them with the skills needed to support people.

Staff were provided with supervision and appraisal for development and support.

People had consented to the support provided by Holistic Homecare.

Staff supported people to eat a balanced diet to maintain their health.



Updated 5 January 2018

The service was caring.

People told us care workers were caring and kind.

People were supported to contribute to their support plan.

Staff respected people�s privacy and dignity and knew people well.



Updated 5 January 2018

The service was responsive.

People�s support plans were reviewed and updated as required.

Staff understood people�s preferences and support needs.

People were confident in reporting concerns to the registered manager and felt they would be listened to.



Updated 5 January 2018

The service was well led.

People said the registered manager was approachable and supportive.

There were quality assurance and audit processes in place to make sure the service was running safely.

The service had a full range of policies and procedures available for staff so they had access to important information.