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Inspection Summary


Overall summary & rating

Good

Updated 15 December 2017

This service is a domiciliary care agency. It provides personal care to people living in their own homes in the community. It provides a service to older adults, younger adults, people living with dementia, or those with sensory impairment or physical disability. At the time of our inspection visit, three people were using the service.

CQC only inspects the service being received by people provided with ‘personal care’ such as help with tasks related to personal hygiene and eating. We also take into account any wider social care provided.

There was a registered manager in post. 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.

There were enough staff to meet people’s needs and a robust recruitment policy in place. The staff were aware of safeguarding procedures. There were risk assessments in place with guidance on how to mitigate risks to people, in respect of falling, mobility and equipment.

People were supported with their medicines where required, however improvements were needed around the recording and care planning of ‘as required’ (PRN) medicines.

Staff had undertaken qualifications and training relevant to their role, however we have made a recommendation around further training when the service employs new staff. There was a comprehensive induction process in place.

Staff supported people to have a healthy balanced diet and to drink enough if this was needed. They were responsive to people’s changing needs, and assisted them to access healthcare when required.

The service worked with other organisations to meet people’s needs, including sharing information and gaining advice. They provided compassionate care, including to people towards the end of their lives. People were treated with dignity, and their privacy respected.

Relatives were involved in people’s care planning and delivery. People’s choices were respected and staff promoted people’s decision making and independence. They understood people’s mental capacity and sought consent before delivering care to people.

There was good leadership in place and the service sought feedback from people in order to improve. They had quality assurance systems in place and the registered manager was aware of their responsibilities.

Inspection areas

Safe

Good

Updated 15 December 2017

The service was safe.

Staff knew how to mitigate risks to people and risk assessments were in place, however not always for people’s health conditions.

There were enough staff to meet people’s needs.

People received their medicines as prescribed, where supported to do so.

Effective

Good

Updated 15 December 2017

The service was effective.

Staff had undergone training relevant to their roles.

People were supported to eat a healthy balanced diet where supported with their meals.

Staff assisted people to access healthcare and worked with other organisations to provide good care.

Caring

Good

Updated 15 December 2017

The service was caring.

Staff were compassionate and included people and their families in their care.

Staff respected people’s privacy and dignity and promoted independence.

Responsive

Good

Updated 15 December 2017

The service was responsive.

Staff supported people in a responsive, sensitive and kind manner towards the end of their lives.

The service was flexible around people’s changing needs, and care was person-centred.

Well-led

Good

Updated 15 December 2017

The service was well-led.

People knew who the registered manager was and they were available to people.

There were systems in place to monitor the service and make improvements.