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Apollo Care (West Wirral)

Overall: Good read more about inspection ratings

176 Hoylake Road, Moreton, Wirral, CH46 8TH (0151) 652 9944

Provided and run by:
H White Ltd

All Inspections

During an assessment under our new approach

About the service
Apollo Care West Wirral is a care at home agency supporting people with personal care in their own homes.
The Care Quality Commission (CQC) regulates the personal care and support that people may receive. 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 20 people were receiving support.
Who the service is for
This service is registered to support older adults, younger adults, people with dementia, physical and sensory disabilities and mental health conditions.

Our view of the service
We carried out this assessment remotely between 15 – 20 October 2026. We did not visit the office location. This service was previously rated as good. We carried out this assessment to confirm whether the rating of good remains accurate. This report does not provide detailed information on areas where we found practice continues to meet a good standard. Instead, our findings focus on any areas where the service needs to improve or where we found exceptional practice.
People received care from staff who appeared to know them well and understood their individual preferences, routines, strengths and support needs. Care records reviewed were detailed, personalised and regularly reviewed. They contained clear guidance for staff regarding how people wished to receive support, how risks should be managed and how independence could be promoted. Records demonstrated a strong emphasis on choice, dignity and respecting people's wishes. Care planning considered people's health needs, communication needs, mobility, nutrition, personal care and environmental risks.
People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the service was working within the principles of the MCA and how they managed DoLS within the service. We found that staff and management worked within the principles of the MCA. There was no one subject to DoLS at the time of our inspection.
Risk management was robust. Risk assessments identified potential hazards and provided staff with clear measures to reduce risks whilst enabling people to remain as independent as possible. The care records reviewed demonstrated appropriate consideration of falls risks, mobility, nutrition, infection prevention and maintaining safe home environments.
The provider demonstrated good oversight of accidents, incidents and health and safety concerns. Accidents and incidents were recorded appropriately, with evidence of investigation, follow-up action and learning. Records demonstrated staff responded appropriately, sought medical advice when required and involved families and healthcare professionals. Where patterns emerged, management reviewed risks and considered additional measures to reduce future occurrences. Medication incidents were infrequent and where errors occurred there was evidence of investigation, reflection, additional supervision and training to reduce the likelihood of recurrence.
Governance systems were well established. Regular audits were undertaken covering areas such as medicines management, care planning, recruitment, incidents and accidents. Management completed trend analysis and used information gathered through audits and reviews to identify themes and opportunities for improvement. Incident analysis demonstrated evidence of reflective practice and learning being shared with staff through meetings, supervision and ongoing support. The service also maintained a range of comprehensive policies and procedures that supported safe working practices and regulatory compliance. These included safeguarding, whistleblowing, complaints and business continuity arrangements.
Training arrangements supported staff to carry out their roles safely and effectively. The training matrix demonstrated that most staff had completed mandatory and role-specific training, including safeguarding, medicines management, moving and handling, infection prevention and control, first aid and dementia awareness. Staff also received additional training relevant to people's individual needs.
Feedback from staff consistently described a positive and supportive culture. Staff told us they felt valued, listened to and supported by the registered manager and management team. Staff reported they had access to training, received good communication from leaders and felt able to raise concerns. Several staff described enjoying their work and spoke positively about the care provided to people. Staff also told us they generally had sufficient time to meet people's needs and understood their safeguarding responsibilities.
Recruitment processes were robust. Recruitment files reviewed contained appropriate identification checks, DBS checks and health declarations.
Staff feedback echoed the positive experiences shared by people and relatives. Staff consistently described feeling supported by management and told us leaders were approachable and responsive. Staff reported receiving the training they needed, having opportunities for development and feeling proud of the care they delivered. Several staff described Apollo Care West Wirral as a positive place to work, with one member of staff stating they felt as though they had; "come home" when returning to the organisation. Others spoke about the satisfaction they gained from supporting people to remain independent and achieve positive outcomes.
Overall, the evidence reviewed demonstrated a caring, well-managed service with effective governance arrangements, a positive culture and a strong commitment to providing person-centred care. The provider showed a willingness to reflect, learn and improve and there was evidence that people received care that promoted their independence, dignity and wellbeing.
 

4 September 2019

During a routine inspection

About the service

Apollo Care (West Wirral) is a domiciliary care service providing personal care to people in their own homes. 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 the inspection, the service was providing personal care to 38 people.

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

People told us they received care that helped them to feel safe in their homes. There were sufficient numbers of staff employed and they had been recruited safely. People knew the staff who supported them. Staff were aware of safeguarding and whistleblowing procedures and knew how to raise any concerns they had. Risk to people had been assessed and measures were in place to reduce any identified risks. When people required support with medicines, this was completed safely.

Systems were in place to gain people’s consent to their care, but the recording of this information could be improved. We made a recommendation regarding this in the main body of the report. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff were supported through regular training, supervisions and spot checks and told us they felt very well supported in their roles. People’s needs were assessed prior to support commencing and staff worked with health professionals to help ensure people’s needs were met.

Staff were kind, caring and treated people with respect. Staff knew the people they supported well, including their needs, preferences and best method of communication. People told us staff protected their dignity and provided support in ways which promoted their independence. People were provided with information and supported to make decisions about their care.

People told us they received flexible care that met their individual needs and was based on their preferences and how they wanted to be supported. Detailed and personalised plans of care were in place that were reflective of people’s needs. People knew how to raise any concerns they had and were confident they would be listened to.

People’s feedback regarding the quality of service they received was very positive. Staff told us they enjoyed their roles and would recommend the company to others. Systems were in place to monitor the quality and safety of the service and these had been built upon since the last inspection. The service was implementing new initiatives to continually improve the service.

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

Rating at last inspection

The last rating for this service was Good (published 14 January 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

25 October 2016

During a routine inspection

This inspection took place on 25 October and 2 November 2016. We gave the provider a short amount of notice on the first day as we wanted to make sure that somebody would be available when we visited. The second day was by arrangement.

Apollo Care West Wirral provide personal care for 31people living in their own homes in the geographical area of West Wirral. On the first day we visited the organisation’s office; on the second day we visited five people in their homes who were happy to speak with us about the care they received.

The organisations required and 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 2008 and associated Regulations about how the service is run.

People told us they felt the service they received was safe. Staff members wore a uniform, carried identification and people were sent a weekly rota to identify which staff member was coming. When we visited people we saw that the staff rota was close to hand. People told us that apart from occasional times, the support they received was from familiar staff and that this was important to them.

We found that there were adequate staff to meet people’s care needs. People told us that they received their calls at the right time and that staff stayed for the full time as outlined in their care plan and rota. One person told us that they appreciated that the staff “Had enough time for a chat”. Another person told us, “They are observant and if they spot something that needs doing they ask if I want them to do it”.

New staff had been safely recruited, with robust checks made of people’s skills, knowledge and background. We saw records of and staff told us they received a thorough induction which included a week of training, a period of shadowing an experienced member of staff, three months of monthly supervision, ‘spot check’ observations and staff team meetings. Staff we spoke with praised the training they received. One staff member told us, “The induction was really useful, it refreshed my skills and gave me confidence in the role”.

All staff we spoke with were knowledgeable with regard to safeguarding vulnerable adults. They were aware of the different types of abuse and possible signs to look out for. Staff were aware of their responsibilities to report this within the organisation and if necessary to outside organisations.

We saw that appropriate risk assessments were in place for different aspect of people’s care. There was also a record of any accidents, incidents or near misses. The record of incidents was detailed and we saw examples of when incidents had been learnt from and actions that had been taken to keep people safe.

People told us they felt well cared for and the approach of staff and the service was caring. People’s feedback about their care was without exception positive. One person told us, “They are so nice; I’d recommend them to anyone”. People told us of times when they thought the support they received went above and beyond in their care and how they found this reassuring.

We saw that people were treated with dignity and respect and staff had been trained in the application of the Mental Capacity Act. People’s consent to care was sought when it was planned with the person, during regular reviews and on a day to day basis in making decisions.

People’s care plans were clear, up to date and reflected the care people received and had agreed to. We saw that there was an initial review of a person’s wishes and care needs and this had been regularly reviewed by a senior member of staff once a person’s care had started. Care plans recorded people’s preferences with regard to how they wished their personal care to take place. The care plans recorded any small details when they were important to a person. People received support to make sure their nutritional and other health care needs were met.

We looked at the organisation’s record of complaints and compliments. We saw that the service had received many compliments and also that complaints had been taken seriously and responded to and reviewed for themes that the organisation may need to address.

We saw that the registered manager had an individualised and detailed knowledge of the care people received. People supported and staff praised the manager, her style of management and attention to people’s care. The service had been nominated for a regional award and was in the final.

The manager made use of a computerised system that highlighted when checks, reviews and tasks were due. Many of the checks and audits of the quality of the service provided had been effective. The manager or another senior member of staff made regular unannounced ‘spot checks’ of staff member’s performance. This included the time the call was made and if people’s care plans were followed. Care plan reviews were thorough and we saw that the care of people we spoke with matched the information in their plan.

However there was no system in place to audit people’s MAR charts for completeness or to look for reasons for, or patterns of gaps in the records. Also, all notifiable events had not all been reported to the Care Quality Commission and the local authority. On the second day of our visit the registered manager had put these systems in place along with a review of people’s daily care communication records. We found the manager to be open, candid and quick to respond to concerns highlighted.

The registered manager used questionnaires as another way of gaining people’s views. People told us they thought these were useful and enjoyed receiving these. We looked at the feedback from questionnaires and found the feedback to be overwhelming positive.

Apollo Care West Wirral has also achieved the Investors in People Bronze Award. At the time of our inspection the provider had reached the final with six other organisations in the north west for The Regional Great British Care Awards, in the category of best employer.