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Archived: All Generations Home Care

Overall: Good read more about inspection ratings

47 Batsford Road, Coundon, Coventry, West Midlands, CV6 1AQ (024) 7659 2482

Provided and run by:
Mrs Veronica Brigid O'Connor

All Inspections

13 August 2015

During a routine inspection

This inspection took place on 13 August July 2015. The inspection was announced. We gave the provider two days’ notice of our inspection. This was to make sure we could meet with the manager of the service on the day of our inspection.

All Generations Home Care is a small service registered to provide personal care and support to people living in their own homes. The registered manager of the service is also the provider of the service. There were ten people using the service at the time of our inspection.

A requirement of the provider’s registration is that they have a registered manager. 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 the time of our inspection there was a registered manager at the service. We refer to the registered manager as the manager in the body of this report.

People and their relatives told us they felt safe with staff, and staff treated them well. The manager and staff understood how to protect people they supported from abuse, and knew what procedures to follow to report any concerns. There were enough staff at All Generations Home Care to support people safely. The provider had recruitment procedures in place that made sure staff were of a suitable character to care for people in their own homes.

Medicines were administered safely, and people received their prescribed medicines as intended.

People were supported to attend health care appointments with health care professionals when they needed to, and received healthcare that supported them to maintain their wellbeing.

People and their relatives thought staff were kind and responsive to people’s needs, and people’s privacy and dignity was respected.

Management and staff understood the principles of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS), and supported people in line with these principles. People did not always have a current mental capacity assessment in place, where they lacked the capacity to make all of their own decisions. However, staff knew people well and could explain when people could make their own decisions, and when people needed support to do so.

Activities, interests and hobbies were arranged according to people’s individual preferences, and according to their individual care packages. All of the people and their relatives, had arranged their own individual care packages, and had agreed with All Generations Home Care how they wanted to be supported. People were able to make everyday decisions themselves, which helped them to maintain their independence.

Staff, people and their relatives felt the manager was approachable. Positive communication was encouraged and identified concerns were acted upon by the manager. Staff were supported by the manager through regular meetings. There was an out of hours’ on call system in operation which ensured management support and advice was always available for staff. Staff felt their training and induction supported them to meet the needs of people they cared for.

People told us they knew how to make a complaint if they needed to. The provider monitored complaints, investigated concerns, and made changes to the service in response to complaints.

There were systems in place to monitor the quality of the service. This was through feedback from people who used the service, their relative’s, staff and a programme of audits. The provider played an active role in quality assurance to ensure areas of poor practice could be identified so the service could improve.

25 June 2014

During a routine inspection

This inspection was completed by one inspector. We visited the provider's premises and spoke with the registered manager. We found 11 people used the service on the day of our inspection. We spoke with three people who used the service, one of their relatives and two staff following our visit on the telephone.

Below is a summary of what we found. The summary describes what people told us, the records we looked at and what staff told us. If you wish to see the evidence supporting our summary please read the full report.

Is the service safe?

All of the people we spoke with told us they felt safe. One person told us, "I feel entirely safe with these staff."

Safeguarding procedures were in place and staff understood their role in safeguarding the people they supported. Staff were aware of the provider's whistleblowing policy.

Staff knew about risk management plans and we saw people were supported in line with those plans. This meant people were cared for in a way that protected them from harm.

The provider worked well with health care providers to ensure people's health needs were met and they were protected against harm.

The provider had appropriate recruitment systems in place to ensure staff were of good character and fit to carry out their role.

Systems were in place to make sure the manager and staff learned from events such as accidents and incidents, complaints and checks made on the service. This reduced the risk to people and helped the service to continually improve.

Is the service effective?

People's care needs were assessed with them. People told us and we saw evidence that people were involved in their care planning and reviews. We saw care plans were regularly updated.

Where people had complex needs that required the input of specialist health care services, assessments had been made by the appropriate professionals. Their recommendations were carried out by staff. This meant the provider worked well with other services to ensure people's health care needs were met.

Staff were appropriately supported and trained to ensure they effectively met people's needs.

Is the service caring?

People told us they were supported by kind and caring staff. One person told us, "The staff are very kind and caring, they couldn't be better."

People's preferences, interests and diverse needs had been recorded and care and support was provided in accordance with people's wishes.

Is the service responsive?

People were asked their views about the service and the provider acted on comments that people made. One person told us, "The manager is available day and night and you can contact her anytime."

Where care staff had noticed people's changing needs, their care plans were updated to reflect this. We found staff discussed people's care needs with them on a regular basis.

Is the service well led?

We found the provider had a clear complaints procedure and that people who used the service knew how to make a complaint.

The provider had quality assurance and risk management systems in place. We found the registered manager checked that risks were managed effectively.

The provider sought the views of people who used the service. Records seen by us indicated that shortfalls in the service were addressed where they had been identified.

Staff told us they were clear about their roles and responsibilities and understood the quality assurance and risk management systems. This helped to ensure people received a good quality of care. Staff told us the service was well organised and they felt supported by their manager.

18 October 2013

During a routine inspection

At the time of our visit they had 18 people who used the service supported by eight staff members. We saw there were adequate numbers of staff to provide personalised care to people who used the service.

We asked four people about their experience of the care provided. Everyone we spoke with told us they were happy with the care they received. People said they were supported by friendly, professional staff. One person said, "The work they do is excellent, I can't fault them."

People who used the service said they felt comfortable with talking to the manager or any member of staff if they felt things could be improved. One person said, "I would definitely recommend them."

Everyone we spoke with told us the communication between the care staff was very good. People told us their wishes were taken into consideration.

The service had a robust complaints procedure in place. Staff we spoke with during our visit were able to explain the complaints procedure and tell us what they would do if someone complained. A copy of the complaints procedure was available to each person who used the service in the service user guide.

1 March 2013

During a routine inspection

All Generations Home Care is a small domiciliary care service based in Coundon. At the time of our visit they had fifteen people using the service supported by six staff members.

People using the service were satisfied with the care they received. They told us the carer's were very friendly and helpful. They said they had no complaints at all and were more than satisfied with the service.

The manager reviewed each person's care documentation on an annual basis. They spoke to the person and their family to make sure the service provided was of a good standard, and was meeting the needs of the individual.

People who used the service were supported by friendly, professional staff.

People who used the service said they felt comfortable with talking to the manager or any member of staff if they felt things could be improved. They all said they were very satisfied with the service provided.