We carried out a review of the data available to us about Eximius Live-in Care Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Eximius Live-in Care Limited, you can give feedback on this service.
Eximius Live-in Care Limited is registered to provide personal care and support to people in their own homes. The service provides live-in care workers to people living in their own home. 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 supported 18 people.
People’s experience of using this service and what we found
People’s experience of being supported by the service was exceptionally caring, responsive and well-led. People were supported to live the life they choose and celebrate their cultural needs. Comments from people and their relatives included “Both excellent at keeping mum as active as possible, and making sure she is mentally stimulated”, “We have had live in care for our mother from Eximius since the company first opened, the companions chosen for mum are matched to her individual needs and requirements. They continue to amaze us with their level of dedication to their role.”
People were supported by care workers who were exceptionally caring and compassionate. People told us “So far as I am concerned the care which Eximius provides has been of a very high quality”, “I have had three excellent carers who each have come for long periods and have been very hard working and caring and a pleasure to have in my house” and “[Name of care worker] is exemplary.”
People received an exceptionally responsive service. People were supported by staff who supported them to continue with their role in society and family life.
People described the service as exceptionally well-led. One person told us the nominated individual was “An exceptional person, with her passion and desire to provide a caring and compassionate service.” Other people described the managed team as, “Exemplary”, “Reliable” and were of “Full of praise of the care and service they give.” Another person told us “Appropriately qualified carers had been excellent and contact both with the carer and the Eximius management has been easy and efficient.”
People were supported by care workers who had been matched to meet their individual needs. Attention was placed on ensuring care workers had the right skills, experience and life knowledge to engage with people in a meaningful way.
People were protected from abuse and avoidable harm as care workers were skilled in assessing and monitoring safety. The service provided the required documentation on how care workers should minimise risk of harm to people.
People were supported by care workers who recognised the need to refer people to external healthcare professionals when needed. The service worked well with other bodies to promote people’s health and well-being
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 support this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 14 June 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
This was the first inspection since the provider registered with the Care Quality Commission (CQC) to provide personal care to people. The service supported people who lived in their own homes. At the time of the inspection five people were supported with live-in staff known as support companions.
At the time of the inspection there was no 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. The previous registered manager de-registered in April 2017. The service had appointed a new manager and they had submitted an application to CQC to become the registered manager.
We received lots of positive feedback from people we contacted. There was an overriding theme that the care provided to people by staff had had a positive impact on people’s physical, emotional and spiritual well-being. We were informed health had improved and some people had returned to activities they had not attended for some time.
We received feedback that staff were exceptionally kind and caring. One relative told us “My mother needed to attend a hospital appointment and I had arranged to meet [name of support worker] outside. When I went inside to meet my mother, she was sitting in the café. For a split second I did not recognise her. She was smartly turned out, hair done.” The relative went on to say why that was particularly important. They told us prior to the introduction of the support worker their mother had been neglecting herself and was often seen in an unkempt state. They told us their mother had always been interested in clothes and fashion and had always previously taken pride in their appearance. It was clear the staffs’ intervention had supported the person to regain their dignity and pride in her appearance. We received lots of other examples of how caring staff were.
The service had an experienced management team in place. The managing director was integral to the running of the service. They were affiliated to a number of business networks which promoted new ideas in the industry, drove improvements and developments for people supported by Eximius.
There was a clear vision by all staff to provide a person centred service which aimed to enable and empower people to live the life they choose. This was supported by what a relative told us, “The company stood out from the start, the response I got from the moment the phone was answered by [name of managing director] was stratospherically way above the other companies I had spoken with.”
Staff were recruited through a robust system and people were involved in handpicking their own support worker.
Staff were fully aware of how to promote people’s safety and told us they would report any concerns to the office. Staff and relatives told us they had confidence in the office to deal with any concerns raised.