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Inspection Summary


Overall summary & rating

Good

Updated 24 April 2019

About the service:

Affinity Homecare (Shrewsbury) 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 and younger disabled adults. Not everyone using Affinity Homecare (Shrewsbury) 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 70 people were receiving the regulated activity of personal care.

People’s experience of using this service:

People received safe support with their medicines by competent staff members. The provider had systems in place to respond to any medicine errors should they occur. The provider completed regular checks to ensure people received the right medicine at the right time.

The provider had assessed risks to people associated with their care and support. Staff members were knowledgeable about these risks and knew what to do to minimise the risk of harm to people. The provider had systems in place to respond to any additional risks to people. Staff members were aware of the necessary action they should take in the event of an emergency.

The provider, and management team, had good links with the local communities within which people lived. The provider had systems in place to ensure the Care Quality Commission was notified of significant events in a timely manner and in accordance with their registration.

People received safe care and support as the staff team had been trained to recognise potential signs of abuse and understood what to do to safely support people. Staff members followed effective infection prevention and control procedures when supporting people in their own homes. Staff members had appropriate personal protection equipment supplied by the provider.

The provider supported staff in providing effective care for people through person-centred care planning, training and one-to-one supervision. Staff members were knowledgeable about the relevant legislations that informed their practice and supported the rights of those receiving services from Affinity Homecare (Shrewsbury).

People were supported to refer themselves for additional healthcare services when required. When appropriate people were supported to maintain a healthy diet by a staff team which knew their individual preferences.

People received help and support from a kind and compassionate staff team with whom they had positive relationships. People were supported by staff members who were aware of their individual protected characteristics like age, gender and disability. People were supported to retain their independence whilst living in their own homes.

People were provided with information in a way they could understand. The provider had systems in place to encourage and respond to any complaints or compliments from people or those close to them.

More information in Detailed Findings below.

Rating at last inspection:

Requires Improvement for the key questions ‘Safe,’ ‘Effective,’ ‘Responsive’ and ‘Well-led,’ and Good for ‘Caring.’ (Published 3 May 2018). At that inspection we found people’s medicines were not safely managed, risks were not comprehensively recorded, staff training did not account for people's specific health needs, care and support plans did not fully reflect people’s needs and the providers quality monitoring systems were not effective. At this inspection Affinity Homecare (Shrewsbury) had made the necessary improvements.

Why we inspected:

This was a planned inspection based on the rating at the last inspection, ‘Requires Improvement.’

Follow up:

We will continue to monitor all intelligence received about the service to ensure the next planned inspection is scheduled accordingly.

For more details, please see the full report whic

Inspection areas

Safe

Good

Updated 24 April 2019

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 24 April 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 24 April 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 24 April 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 24 April 2019

The service was well-led

Details are in our Well-Led findings below.