20 December 2016
During a routine inspection
E-Spire Healthcare Limited is registered to provide personal care to people of all ages living in their own homes. The service is registered to provide personal care for people in their own homes. They provided personal care to 21 people at the time of our inspection.
The service did not have a registered manager in post. However, the manager had made their application with us to be registered which was being processed. ‘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.’
People felt safe when staff supported them in their own homes. They were supported by staff who had received training in and understood how to protect them from the risk of any harm and abuse. Systems were in place for staff to follow which protected people and kept them safe. Staff knew how to and were confident in reporting any concerns they may have about a person's safety
People were supported by staff who were familiar to them. The staff teams provided care to the same people which gave them reassurance. Two weekly rolling rotas meant that people knew in advance who would be visiting. Checks were completed on potential new staff before they started work to make sure they were suitable to support people living in their own homes.
Staff had the skills and knowledge to understand and support people's individual needs. These skills were kept up to date through regular training and staff were also supported in their roles from managers and colleagues.
Staff asked people's permission before they helped them with any care or support. People's right to make their own decisions about their own care and treatment was supported by staff. People were supported by staff who knew them well and were caring in their approach. Staff made sure people were involved in their own care and listened to what people and their relatives had to say. People were treated with dignity and respect and they were encouraged to maintain their independence as much as they were able to.
People were supported to identify how they wanted their care delivered. Staff provided care how people wanted it and in a way that was individual to them. Staff responded to any changes in people's needs and supported them and their relatives to access other services as required.
Complaints made to the service were dealt with in accordance with the providers policies and procedures.
The management team were supportive of the staff team and respected their ideas about how the service could improve. Systems were in place to assess and monitor the quality of the service provided.