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Inspection Summary


Overall summary & rating

Good

Updated 20 December 2018

We carried out an announced inspection at Ribble Homecare on 4 and 5 December 2018. This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older people, people living with dementia, younger adults and people with a physical disability. The service specialises in providing care to people at the end of their life. At the time of this inspection, there were a total of 20 people being supported by the service.

Not everyone using the service receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’, for example help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided.

The service had a registered manager in place. 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.

At our last inspection we rated the service good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. We therefore found the evidence continued to support the rating of good. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Why the service is rated good:

People received consistently high levels of care from staff who were kind, caring and willing to go the extra mile to support people. The registered manager was a positive role model for staff and demonstrated a commitment to ongoing service improvement.

The service specialised in providing care and support to people who were at the end of their life. Staff had received specialist training to help ensure they were able to provide people with high quality, compassionate end of life care which met their wishes and preferences. The service had a policy of ensuring no one died alone at home.

People's privacy and dignity was respected and promoted. Staff had received training in equality and diversity and there were policies in place to help ensure they provided care which promoted and respected people’s rights.

People told us they felt safe with the staff who supported them from Ribble Homecare. People's care records contained details of people’s needs and associated risks.

Staff had been safely recruited. Staff we spoke with were aware of how to safeguard adults at risk of abuse. There were safe processes and practices in place for the management and administration of medicines.

Staff received the necessary induction, training and support to help ensure they were able to deliver effective care. People told us staff were knowledgeable about their needs and the way they wished to be supported.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way; the policies and systems at the service supported this practice.

Staff were responsive to any changes in people’s health conditions. Prompt advice and support was sought from health professionals when necessary; this helped to prevent unnecessary hospital admissions.

There were systems in place to monitor the quality and effectiveness of the service. The provider regularly sought feedback from people who used the service, their relatives and staff. Any comments received were welcomed as a means of improving the service.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 20 December 2018

The service remains safe.

Effective

Good

Updated 20 December 2018

The service remains effective.

Caring

Outstanding

Updated 20 December 2018

The service was exceptionally kind and caring.

People spoken with during the inspection told us staff provided very high quality, compassionate care particularly when people were at the end of their life.

We saw evidence of numerous examples where staff and the registered manager had gone above and beyond what might normally be expected of them to ensure people felt they mattered.

Staff understood the importance of ensuring people�s diverse needs were understood and met.

Responsive

Good

Updated 20 December 2018

The service remains responsive.

Well-led

Good

Updated 20 December 2018

The service remains well-led.