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Goodwood Homecare Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 12 February 2020

About the service

Goodwood Homecare is a domiciliary care agency that provides personal care and support to people living in their own homes. It provides a service to older adults some of whom are living with dementia.

Not everyone using Goodwood Homecare received a regulated activity. CQC only inspects the service 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. At the time of our inspection 27 people were receiving the regulated activity of personal care.

People’s experience of using this service and what we found

People were not always supported to have maximum choice and control of their lives and the provider did not always support them in the least restrictive way possible or in their best interests; the application of the policies and systems was inconsistent and did not always support good practice.

The provider had quality monitoring procedures in place. However, these did not identify appropriate assessments of capacity to make decisions were not completed when necessary.

People were protected from the risks of ill-treatment and abuse as the staff team had been trained to recognise potential signs of abuse and understood what to do to safely support people. The provider had assessed the risks to people associated with their care and support. Staff members were knowledgeable about these risks and knew what to do to minimise the potential for harm to people.

People received safe support with their medicines by staff members who had been trained and assessed as competent. Staff members followed effective infection prevention and control procedures when supporting people.

The provider supported staff in providing effective care for people through person-centred care planning, training and one-to-one supervision. People were supported to refer themselves to additional healthcare services when required.

People received help and support from a kind and compassionate staff team with whom they had developed positive relationships. People were supported by staff members who were aware of their individual protected characteristics like age, gender and disability.

People were provided with information in a way they could understand. The provider had systems in place to encourage and respond to any compliments or complaints from people or those close to them. The provider, and management team, had good links with the local communities within which people lived.

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’ overall with ‘Requires Improvement’ in the key question ‘Well-Led,” (published 11 July 2017). At this inspection we found improvements were still needed in this key question.

Enforcement

We have identified one breach of regulations in relation to obtaining consent for care. Please see the action we have told the provider to take at the end of this report.

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.

Inspection areas

Safe

Good

Updated 12 February 2020

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 12 February 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 12 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 12 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 12 February 2020

The service was not always well-led.

Details are in our well-Led findings below.