You are here

Inspection Summary


Overall summary & rating

Requires improvement

Updated 30 May 2019

About the service:

• Harp Care is a small home care service that was providing personal care to 13 people at the time of the inspection.

People’s experience of using this service:

• The necessary checks had not been made to ensure staff were of good character before they started working within people’s homes. We found repeated concerns in this area that had been identified at a previous inspection of the service in December 2016. This demonstrated a lack of robust monitoring within this area.

• The provider had not ensured that all appropriate records had been kept in relation to staff recruitment and the management of the service.

• Processes had not been followed in line with best practice where medicines had been given covertly (hidden in food or drink). We have made a recommendation the provider seeks relevant guidance in this area.

• People were very happy with the quality of care they received.

• Risks to people’s individual safety had been assessed and staff acted to reduce these where possible.

• There were enough staff working at the service to ensure people received their care visits when needed.

• Staff used good practice to reduce the risk of the spread of infection.

• People received their medicines when they needed them.

• Staff had received enough training and supervision to provide people with safe and effective care that met their needs and preferences.

• People were supported to have maximum choice and control of their lives and had been involved in the planning of their care. They told us they were encouraged to give their views about the quality of care they received.

• Where staff supported people to eat and drink, this was completed to meet people’s needs.

• People told us they received support to maintain their health when needed and the care they received enhanced their wellbeing.

• Staff worked well with other professionals to ensure that people received the care they needed at the time they required it.

• There was an open culture at the service. The management team and staff were approachable, and people and staff told us they could contact them when they needed to.

Rating at last inspection:

Requires Improvement (Published April 2018). The overall rating has remained as Requires Improvement and this is the third consecutive time it has been given this rating.

Why we inspected:

This was a planned inspection based on the period since the last report was published by CQC.

Follow up:

We will consider the action we will take due to the service being rated as requires improvement again. We will also continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

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 30 May 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 30 May 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 30 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 30 May 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 30 May 2019

The service was not always well-led

Details are in our Well-Led findings below.