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Hasbury Home Care Services Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 24 September 2019

About the service

Hasbury Home Care Services Limited is a domiciliary care agency providing personal care and support to 55 people living in their own homes. The service also provided support to people living in five supported living schemes. Four of the houses, people shared facilities from two to four people and one house was single occupation. Three of the houses had staff on site 24 hours a day.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is to 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

The provider monitored the service to ensure it continued to provide a good quality care. However, quality monitoring audits had not identified the issues we found during the inspection.

All the people, relatives, and staff we spoke with said the service provided good quality care. The culture of the service was open and honest and the provider, registered manager and staff were approachable.

Staff were knowledgeable and kind. People had regular staff who they got to know well. People and relatives told us how friendly and caring the staff were. Staff enjoyed their work and got on well with the people they supported who they valued and treated with dignity.

Staff provided responsive and flexible care to people in line with their preferences and choices. The staff team were multilingual and communicated with people in English and a range of other languages, as required. If people communicated non-verbally staff knew how to engage with them.

People were safe using the service. Staff knew how to protect people from harm and reduce the risk of accidents and incidents. The service was sufficiently staffed to ensure people's needs were met. Staff supported people with their medicines and this was done safely. Staff understood how to prevent and control the spread of infection.

People were assessed before using the service to ensure their needs could be met. Assessments addressed people's physical and mental health needs, their cultural and language needs, and what was important to them. Staff worked with GPs, district nurses, and other health and social care professionals to ensure people's health and social care needs were met.

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.

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 30 December 2016).

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.

Inspection areas

Safe

Requires improvement

Updated 24 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 24 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 24 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 24 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 24 September 2019

The service was not always well-led.

Details are in our well-Led findings below.