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Inspection Summary


Overall summary & rating

Good

Updated 4 October 2017

This inspection took place on 31 August 2017 and was announced. Healthy Homecare Services provides personal care for people living in their own homes. At the time of inspection there was one person receiving personal care. However, the provider was also providing care to two additional people who did not require regular support with personal care.

This was the first comprehensive inspection of Healthy Homecare Services since their registration with the Commission in May 2016.

There was a registered manager in post who was also the provider of the service. 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 were safeguarded from harm as the provider had effective systems in place to prevent, recognise and report concerns to the relevant authorities. People’s care records contained risk assessments and management plans to mitigate risks to people. They gave information for staff on the identified risk and informed staff on the measures required to minimise these.

People were actively involved in decisions about their care and support needs. There were formal systems in place to assess people’s capacity for decision making under the Mental Capacity Act 2005. Staff provided people with information to enable them to make an informed decision and encouraged people to make their own choices.

Staff had a full understanding of people’s support needs and had the skills and knowledge to meet them. Training records were up to date and staff the supervision and support that they needed to work effectively in their role. Staff were vigilant regarding people’s changing health needs and sought guidance from relevant healthcare professionals when required.

People’s needs were met in line with their individual care plans and assessed needs. Staff took time to get to know people and ensured that people’s care was tailored to their individual needs.

People had the information they needed to make a complaint and the service had processes in place to respond to any complaints.

People were supported by staff that had the managerial guidance and support they needed to carry out their roles. The quality of the service was monitored by the provider who was also the registered manager.

Inspection areas

Safe

Good

Updated 4 October 2017

The service was safe.

People could be assured that they would receive their prescribed medicines safely.

People could be assured that they would receive their care at the right time and that carers would stay for the duration of their care visit.

People were protected from the risk of harm. Risks to people had been assessed and action taken to mitigate the known risks to people.

Effective

Good

Updated 4 October 2017

The service was effective.

People were supported by staff that had received the training, supervision and support that they required to work effectively in their role.

People received the support that they needed to maintain adequate nutrition.

People’s consent was sought by staff prior to providing care and support.

People were supported to access healthcare services and maintain good health.

Caring

Good

Updated 4 October 2017

The service was caring.

People were supported by consistent staff that they knew and had developed positive relationships with.

People were encouraged to make decisions about how their care was provided and their privacy and dignity were protected and promoted.

People were listened to; their views were acknowledged and acted upon. Care and support was delivered in the way that people chose and preferred.

Responsive

Good

Updated 4 October 2017

The service was responsive.

People could be assured that their complaints would be responded to appropriately.

People had personalised plans of care in place that were reflective of their care and support needs to guide staff in providing care to them.

There was a system in place to manage complaints appropriately.

Well-led

Good

Updated 4 October 2017

The service was well-led.

The provider who was also the registered manager was visible and accessible to people and staff.

People’s feedback was used to drive continuous improvement.

The provider had a clear vision for the on-going development of the service.