Revolution Home Care Ltd

Revolution Home Care Limited is a domiciliary care agency providing personal care to people in their own homes. The service provides support to older people, including those with dementia, people with a physical disability or sensory impairment, younger adults and people with a mental health diagnosis. At the time of our inspection there were 71 people using the service.

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.

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

People felt safe using the service. Risks to people were identified and assessed and staff followed clear guidance which was in place to keep people safe. People received their care calls on time, and staff had time to build relationships with people. There were systems in place to monitor calls and provide out of hours support. Medicines were managed safely and administered by competent staff. People were protected from the risk of infection. Lessons were learned when things went wrong because staff understood their responsibilities to report accidents and incidents. Systems were in place to review and oversee accidents and incidents and action was swiftly taken to mitigate risks to people.

Holistic assessments of people’s needs and choices were carried out. Staff received suitable training to carry out their roles safely and received support to develop. The induction process was comprehensive and equipped staff with the necessary skills. People’s needs in relation to nutrition and hydration were met. Technology was well utilised for staff to share information and work collaboratively with other organisations. People were supported to achieve good outcomes in relation to their health and well-being, staff referred to relevant healthcare professionals as appropriate.

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 kind and caring. People’s diverse needs were considered, and people were protected from discrimination. People were supported to have choice wherever possible in their care and support.

People received personalised care and staff knew people well. The provider had a clear complaints process, which was shared with people and relatives.

The service was well-led. Governance systems were now wholly effective and embedded. The registered manager and staff demonstrated a commitment to continuous learning and improvement. People, relatives and staff were engaged with the running of the service and listened to.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

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 24 August 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

The service had a registered manager, who was also the provider, in post at the time of our inspection, who was present during our inspection. 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.

Systems were in place to monitor the quality of the service provided and ensure people received safe and effective care. However, these systems were not consistently implemented, and records in relation to concerns and complaints, and to checks on care were not always completed.

People were happy with staff who provided their personal care. They felt safe and were confident staff had the skills to provide care appropriately. People were protected from the risk of avoidable harm. Risks associated with people’s health needs were identified to enable appropriate measures to be taken to minimise risk of avoidable harm. People were supported by staff in a caring way, which ensured they received personal care with dignity and respect.

The provider took action to ensure that potential staff were suitable to work with people needing personal care. Staff received supervision and had checks on their knowledge and skills. They also received training in a range of skills the provider felt necessary to meet the needs of people who used the service.

People received their medicines safely, and staff worked with health and social care professionals to ensure that people received appropriate healthcare and treatment in a timely manner.

People’s rights were upheld in relation to consent to personal care. Appropriate arrangements were in place to check whether people were able to consent to their care. The provider met the legal requirements of the Mental Capacity Act 2005 (MCA).

People were involved in their care planning and delivery. The support people received was tailored to their individual needs and wishes. People and their relatives felt confident to raise concerns in relation to the quality of care. The provider had a complaints procedure to ensure issues with quality of care were addressed.