Rehoboth Health and Home Care Limited

At this announced inspection on 22 and 25 June 2018 the service remained Good. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

This service is a domiciliary care agency. It provides personal care to people living in their own houses.

Rehoboth Health and Homecare provides personal care and support to people so they can continue to live in their own homes. At the time of our inspection there were 18 people using the service.

The service had a registered manager. 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.

People continued to feel safe when staff provided them with care and support. Staff had been provided with safeguarding training to enable them to recognise signs and symptoms of abuse and how to report them. There were risk management plans in place to protect and promote people’s safety. Staffing numbers were appropriate to keep people safe. There were safe recruitment practices in place and these were being followed to ensure staff who were employed were suitable for their role. People’s medicines were managed safely and in line with best practice guidelines.

Systems were in place to ensure that people were protected by the prevention and control of infection. There were arrangements for the service to make sure that action was taken and lessons learned when things went wrong, to improve safety across the service

People’s needs and choices were assessed and their care provided in line with best practice that met their diverse needs. Staff received an induction process when they first commenced work at the service and received on-going training to ensure they could provide care based on current practice when supporting people.

People received enough to eat and drink and staff gave support when required. People were supported to use and access a wide variety of other services and social care professionals. The staff had a good knowledge of other services available to people and we saw these had been involved with supporting people using the service. People were supported to access health appointments when required, to make sure they received continuing healthcare to meet their needs.

People's consent was gained before any care was provided. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

Staff provided care and support in a caring and meaningful way. People were given choices about their day to day routines and about how they wanted their care to be delivered. People’s privacy and dignity was maintained at all times.

The provider understood their responsibility to comply with the Accessible Information Standard (AIS), which came into force in August 2016. The AIS is a framework that makes it a legal requirement for all providers to ensure people with a disability or sensory loss can access and understand information they are given.

People were listened to, their views were acknowledged and acted upon and care and support was delivered in the way that people chose and preferred. Records showed that people and their relatives were involved in the care planning process. There was a complaints procedure in place to enable people to raise complaints about the service.

People, relatives and staff were encouraged to provide feedback about the service and it was used to drive improvement. Staff felt well-supported and received supervision that gave them an opportunity to share ideas, and exchange information.

We inspected the service on 26 February 2016 and the visit was announced.

Rehoboth Health and Home Care Limited provides a care and support service to people living in their own homes. The service is small and at the time of our inspection seven people were receiving care and support.

It is a requirement that the service has a registered manager. 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 2008 and associated Regulations about how the service is run. The service had a registered manager in place at the time of our inspection.

People told us that they felt safe when receiving support from staff. Risks to people had been considered to prevent avoidable harm and abuse. This included the regular checking of equipment used to support people to move where they had needed assistance with this.

Staff knew how to safeguard people and could explain how to deal with actual or suspected abuse. They had also received training to keep people safe.

People received support from staffing levels that were appropriate to carry out the care and support required. Staff respected people’s property and made sure it was secure when they left.

People received care and support from staff that had been checked by the provider before they had started working for the service. This helped to make sure that they were suitable to work with people who needed care and support.

People on the whole managed their own medicines and staff gave support only when this was required. Staff were trained and regularly checked to make sure this support continued to be appropriate.

People received care and support from staff that had the rights skills and knowledge. Staff received regular training. For example, staff attended training in the safe moving and handling of people.

Staff had received guidance from the registered manager to provide effective support. They had received an induction when they had started working for the service. Staff also met regularly with the registered manager to discuss areas for improvement and to receive feedback on their work.

Staff understood the Mental Capacity Act (2005) and were able to describe their responsibilities. People were encouraged and supported to make their own decisions about their care and support. People’s capacity to make decisions was detailed in their support plans.

People received effective support to maintain their health. For example, food and fluid charts were completed by staff where required to monitor a person’s nutrition. Staff shared information about people’s health and well-being to enable effective support to be carried out.

People received support from staff that were caring. The dignity and privacy of people was being respected and their personal information kept secure.

Staff knew about people’s preferences. For example, staff told us about a person sometimes enjoying a bath on some occasions whilst at other times they just liked a wash. This helped staff to provider care and support based on people’s wishes.

People had been involved and contributed to the planning of their care. People’s support plans had been reviewed regularly to make sure staff had up to date information about them. Staff supported people to be as independent as possible. However, where people might have needed support to consider their care and support needs, advocacy information was not available. The director told us that they would look at ways to address this.

People knew how to make a complaint. Feedback about the service had been sought through meetings people had been involved in.

People and staff felt that the service was well-managed and the provider looked at ways to improve how it offered care and support to people.

Staff received support from the registered manager and were clear about their roles and responsibilities. The registered manager gave feedback to the staff team about their work to consider how to improve the service they were offering to people.

The registered manager understood their responsibilities and had made arrangements to monitor the quality of the service.