Horizonz Care Ltd

Updated 8 August 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector and an Expert by Experience. An Expert by Experience is person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was announced. We gave the service 24 hours' notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with 3 people and 8 relatives about their experience of care. We spoke with 8 staff including the registered manager and 2 deputy managers. We reviewed a range of records. This included people's care records and multiple medication records. A variety of records relating to the governance of the service, including policies and procedures were reviewed. We looked at 5 staff files in relation to recruitment, supervision data and quality assurance records.

Updated 8 August 2023

About the service

Horizonz Care Ltd is a domiciliary care agency providing personal care and support to people in their own homes. Horizonz Care Ltd provides a service to older people and younger adults. At the time of inspection, the service was providing personal care to 28 people.

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

Systems and processes were in place to safeguard people from the risk of abuse. People told us they felt safe. Staff knew how to respond to accident and incidents.

Care plans and risk assessment were detailed and set out how people wanted to be supported. People received care in a person-centred way. People were supported to take their medicines safely.

Managers and staff understood their roles and responsibilities. There was enough staff working within the service to meet people's needs. People spoke positivity about the care they received from the staff. Systems were in place to monitor calls, making sure visits had been completed. Senior carers carried out spot-checks on staff. The provider had a service improvement plan to drive improvements at the service. People did not have any complaints, and if they did, they knew how to complain. The provider took opportunity to get feedback from others.

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.

Rating at last inspection

The last rating for this service was requires improvement (published 10 January 2020) and breaches of regulation were identified.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

The inspection was prompted due to concerns received about staffing, length of calls and quality of care. As a result, we undertook a focused inspection to review the key questions of Safe and Well led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.