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Horizonz Care Ltd Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 11 January 2020

Horizonz Care Limited is a domiciliary Care agency registered to provide personal care to people in their own homes in the community. It provides a service to a range of people including older people and younger adults. 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. At the time of the inspection the service was providing personal care to 26 people.

People's experience of using this service

At the last inspection in August 2018 we rated the service requires improvement. We found two breaches of regulation, one relating to unsafe staff recruitment practices and one because governance systems were not effective. At this inspection we found improvements had been made to staff recruitment processes, however the registered provider did not always have effective systems of governance in place to maintain and improve the quality and safety of the service.

People and relatives provided good feedback about the service and people told us they felt safe. Staff had a good understanding of how to safeguard adults from abuse and who to contact if they suspected any abuse had taken place.

Incidents were usually recorded, and action taken to keep people safe, however missed visits were not always recorded as incidents and the registered provider did not have an effective overview of these incidents.

Staff knew what to do in the event of an emergency. Risk assessments were individualised and minimised risk whilst promoting independence.

People we spoke with told us staff were usually on time and they had not experienced any recent missed care visits.

Staff were supported with an induction, supervision and role specific training, which ensured they had the knowledge and skills to support people. People received support with their meals if this was part of their care plan.

People received support to maintain good health and were supported to access healthcare professionals and services if required.

People had maximum choice and control of their life and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People told us staff were caring and supported them in a way that maintained their dignity, privacy and independence. People were involved in planning their care and were supported with social activities if this was part of their care package.

For more details, please see the full report which is on the CQC website at

Rating at last inspection and update

The last rating for this service was requires improvement (published 13/10/2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made and the provider was still in breach of one regulation.

The service remains rated requires improvement. This service has been rated requires improvement for the last three consecutive inspections.

We have identified a breach in relation to governance of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

Why we inspected

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up

We will request an action plan and meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will continue to monitor the service and re-inspect in line with the current rating. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 11 January 2020

The service was not always safe.

Details are in our safe findings below.



Updated 11 January 2020

The service was effective.

Details are in our effective findings below.



Updated 11 January 2020

The service was caring.

Details are in our responsive findings below.



Updated 11 January 2020

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 11 January 2020

The service was not always well-led.

Details are in our well-Led findings below.