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Harrall Care Services Limited t/a Home Instead Senior Care Outstanding

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

Inspection Summary

Overall summary & rating


Updated 25 June 2019

About the service: Harrall Care Services Limited t/a Home Instead Senior Care is a domiciliary (home care) care agency. It provides personal care to people living in their own houses and flats.

People’s experience of using this service:

People were supported to have maximum choice and control of their lives. People and their relative’s felt this was a fantastic service.

There was a strong ethos of learning, when things went wrong, lessons were learned and shared with staff to support learning and understanding. Changes were implemented effectively ensuring best practice.

The provider had a twelve-week induction and training programme to develop and train staff. There was a support network to ensure staff had the confidence to grow. The training manager was passionate about good quality training. Staff told us they felt the training was excellent and were completely supported by the trainer. One aspect of the provider’s improvement plan included on line access for staff at any time to develop their needs further.

People, relatives and staff were complimentary about the positive outcomes people achieved. The provider’s systems and processes enabled staff to place the person at the centre of the care and support they received. People were supported to be independent.

People were supported to live and develop their skills and confidence in their own home. Staff were matched and introduced to people before they commenced their shift. The provider’s and registered manager ensured that people were supported by the same staff to ensure the development of relationships. This also meant people felt safer knowing what staff were supporting them.

The providers had an established staff structure with clear responsibilities for all staff. This ensured that communication was effective and the decision-making process for any actions identified to improve the service were taken promptly without any delay. Staff felt supported and confirmed that the management teams’ doors were always open.

The provider's governance systems were effective and ensured ongoing compliance. The providers had an improvement plan and was constantly developing the service. They had implemented an electronic monitoring and reporting system that had made a huge change to the way care and support was delivered.

The electronic system was live and gave real time information and allowed for immediate response and updates when required. The system also supported staff in delivering safer care and support, with prompts for staff and daily auditing and confirmation of completed tasks that were monitored by the registered manager and office staff daily.

All relatives were full of praise for Home Instead. They told us that the kind, caring staff who supported their families to grow, nothing was too much trouble and Home Instead had exceeded their expectations. People also confirmed they were delighted with the support they received.

Care plans were personalised, person centred with risk assessments developed for each identified risk to people`s health and wellbeing.

There was an extremely positive culture within the service, the management team provided strong leadership and led by example. The provider and the registered manager had a clear vision and strong values about how people were supported, this was echoed by all the staff we spoke with. Staff were proud to work for Home Instead and felt they were an active part of an organisation where they mattered, and their voice was heard.

The provider was engaged in supporting other organisations to learn and develop and gave talks on varied topics and provided learning to support other health and social care professionals.

The providers have opened a dementia café in the local community that supported people, their relatives and friends with invaluable advice and guidance. The dementia café provided a place for people to go and meet new friends for tea and coffee and take part in numerous activities.

Rating at last

Inspection areas



Updated 25 June 2019

The service was safe

Details are in our Safe findings below.



Updated 25 June 2019

The service was effective

Details are in our Effective findings below.



Updated 25 June 2019

The service was exceptionally caring

Details are in our Caring findings below.



Updated 25 June 2019

The service was responsive

Details are in our Responsive findings below.



Updated 25 June 2019

The service was exceptionally well-led

Details are in our Well-Led findings below.