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Homecare Northwest Limited Good

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

Inspection Summary


Overall summary & rating

Good

Updated 11 April 2018

This inspection took place on 1, 2 and 5 March, 2018 and was announced.

Homecare Northwest Ltd is a domiciliary care agency. It provides care to people living in their own houses and flats in the community. It provides a service to young and older adults. At the time of the inspection the registered provider was providing support to 50 people.

Not everyone using Homecare Northwest Ltd receives regulated activity; the Care Quality Commission only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

At the time of the inspection there was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

The registered provider had a number of quality assurance processes in place. Such measures ensure that people receive a safe level of care and support in relation to their support needs. Different assurance processes included ‘spot checks’, medication and care plan audits, accident and incident records, ‘review meetings’ as well as staff and client questionnaires. We did discuss with the deputy manager at the time of the inspection that some areas of quality assurance required improvement.

Medication processes were reviewed during the inspection. People who were being supported with their medication had the relevant care plan and risk assessment in place. People had signed a consent form which allowed care staff to support with medication administration. Care staff had received the relevant medication training and staff were familiar with the health care needs of people they supported. However, we did find a number of medication recording errors which needed to be discussed with the deputy manager at the time of the inspection.

Policies and procedures were reviewed during the inspection. A number of the policies did not contain the correct information in relation to the Health and Social Care Act, 2008. Following the inspection we received copies of all up to date and reviewed policies which contained all the relevant and necessary information.

There was a health and safety policy and procedure that staff were complying with, staff were provided with personal protective equipment (PPE) and they were aware infection prevention control measures which needed to be complied with.

Staff expressed that they were aware of safeguarding and whistleblowing procedures. Staff explained their understanding of such policies and how these could protect people from harm and abuse.

Accident and incidents were routinely recorded and monitored. An accident and incident matrix had been devised as a measure to establish trends and manage any identified risks.

Care plans and risk assessments were reviewed during the inspection. Records contained up to date and relevant information and were reviewed on a monthly basis. Staff expressed that records enabled them to provide the level of support which was required.

Care plans were individually tailored and a ‘person centred’ approach to care was evident throughout the records we reviewed. People expressed that staff were familiar with their support needs and always provided care and support in a respectful and dignified way.

Recruitment processes were reviewed during the inspection. All staff who were working for the registered provider had suitable references and disclosure barring system checks (DBS) in place. DBS checks ensure that staff who are employed are suitable to work within a health and social care setting. This enables the registered manager to assess level of suitability for working with vulnerable adults.

Staff expressed h

Inspection areas

Safe

Good

Updated 11 April 2018

The service was safe.

Risk assessment were regularly reviewed and contained up to date and relevant information to mitigate the risk to people.

Accident and incidents were recorded and monitored.

There was an Infection prevention control policy in place and staff were aware of the relevant measures which needed to be followed.

Recruitment processes were robust and sufficient staff were employed to meet people�s needs.

Effective

Good

Updated 11 April 2018

The service was effective.

Principles of the Mental Capacity Act, 2005 were being followed.

Supervision and appraisals were routinely taking place and staff expressed that they felt supported.

Training was up to date and staff were encouraged to develop their skills and abilities.

People received nutritional and hydration support from the staff who were supporting them.

Caring

Good

Updated 11 April 2018

The service was caring.

The staff provided kind, compassionate and caring support.

People were treated with dignity and respect.

Confidential and sensitive information was securely stored and well protected.

Responsive

Good

Updated 11 April 2018

The service was responsive.

Care records contained person centred information and were tailored to the needs of the individual.

People expressed that staff were responsive to their needs.

There was a formal complaints process in place.

Well-led

Good

Updated 11 April 2018

The service was well-led.

There was a registered manager in post at the time of the inspection.

The registered provider was responsive to the feedback we provided and updated a number of their quality assurance systems in a timely manner.

Positive feedback was received from people who were being supported by the registered provider.

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The registered provider ensured they gathered the view and opinions of the people they were supporting in order to develop and improve the provision of care they provided.