Enham Trust - Care & Support at Home

Updated 12 November 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

Two Inspectors carried out the inspection with the support of an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

The service provides care and support to people living in their own home. This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The service had a registered manager and a manager in place.

Notice of inspection

This inspection was announced.

What we did before inspection

We looked at information we held about the service including notifications they had made to us about important events. We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We reviewed information of concern, which was provided to us by the general public, professionals and relatives. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager, the manager and a consultant. We obtained feedback from four members of staff and spoke with eight people and two relatives. We reviewed care records, complaint reports, accident and incident records, various audits and action plans.

After the inspection

The provider sent us additional information which was analysed and used as evidence to support our judgements.

Updated 12 November 2022

About the service

Enham Trust - Care & Support at Home is a registered to provide and support to people living in their own home. At the time of the inspection 10 people were using the service.

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

People and relatives told us the service was understaffed. The provider acknowledged the need to employ additional support workers and were in the process of recruiting. The provider was using agency staff to fill vacancies and permanent staff were working overtime.

The registered manager and management team informed us a number of their policies and procedures were being reviewed and updated to reflect the needs of the service and to ensure they related to homecare provision.

People who used the service said they felt safe. Staff were recruited safely and there were enough staff to provide people's care. People confirmed PPE was always worn by staff when delivering their care.

Staff were aware of their responsibilities regarding safeguarding and knew how to report any concerns. Staff had received training in safeguarding and had confidence management would investigate any concerns appropriately.

Appropriate assessments were in place for managing risk and records showed these were reviewed with input from people and professionals.

People were supported to take their medicine where required and governance systems were effective in identifying any errors or concerns.

The provider had effective arrangements in place to obtain feedback from people and their family members. People were mostly satisfied the care and support they received.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The service was previously inspected on 9 July 2019 and was rated good.

Why we inspected

The service was inspected because we identified concerns relating to another registered location under the provider. We needed assurances the service was safe.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.