27 February 2017
During a routine inspection
Pastures Homecare is a domiciliary care service providing care and support to people living in their own homes. The office is based in Thorpe Astley Leicestershire. At the time of our inspection there was one person 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 2008 and associated Regulations about how the service is run.
Relatives felt their loved one was safe when using the services of Pastures Homecare. They had a trusting relationship with care staff. Staff did not always know their responsibility to keep people safe from harm and abuse. This was because the provider did not have guidelines on how staff could support people to be safe from abuse and report any concerns they had on people safety and wellbeing. There were systems in place to record and monitor incidents that may occur. However, incidents that had taken place were not recorded.
Staff had the relevant skills they required to meet people’s needs. The provider completed relevant checks which ensured that staff had the right skills, experience and were safe to support people. Staff were provided with the training that they required to carry out their role effectively.
There were sufficient numbers of staff to meet people’s needs. Care staff attended at agreed times and stayed the duration of time as stated in people’s care plan.
The provider supported people in accordance to the requirements of the Mental Capacity Act (MCA) 2005.
Staff were kind and compassionate. They developed a positive relationship with the person that used the service and their relatives. Staff promoted the person’s dignity and treated them with respect.
The care that staff provided met the needs of the person that received care. Their relatives had a positive opinion of the service and knew how to make a complaint should they require to.
Relatives spoke positively about the registered manager. They were satisfied with the quality of care their loved one received.
The provider did not have systems to check the quality of care people received. They did not have an inclusive approach and aim to providing good standard of care. The registered manager did not always have oversight of the service.