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Peace of Mind Home Support Limited Good

The provider of this service changed - see old profile

Reports


Inspection carried out on 22 January 2020

During a routine inspection

Peace of Mind Home Support is a domiciliary care service providing personal care to people in their own homes. 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 was supporting a total of 43 people who received support with personal care.

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

People told us they felt safe with all the staff who supported them. They continued to receive care from a consistent staff team. There were enough staff to meet the needs of people.

There were procedures in place to help ensure only suitable staff were employed. However, we found essential pre-employment checks had not always been completed in line with the provider’s policy. We recommended the provider thoroughly reviews its recruitment processes to ensure they are compliant with legislation and best practice.

We found where people were at risk of falls guidance had not been provided to guide staff with action they should take to reduce the risk of harm. We recommended the provider implement a system to ensure staff have recorded guidance in how to support people with equipment provided to mobilise people safely.

People told us staff supported them to receive their medicines as prescribed. Not all care plans described the level of support people needed with the administration of their medicines. In response to our feedback the provider assured us a review of care plans would be carried out and this would be rectified immediately.

Staff had completed safeguarding training and understood their responsibilities to report any concerns to protect people from harm and abuse. There was a system for staff to report and record accidents and Incidents.

We recommended care planning include an assessment of people’s oral healthcare to ensure their health and wellbeing needs are met.

People told us staff were kind and caring and treated them with respect and dignity. People's independence was promoted and encouraged by staff.

People knew how to raise a complaint and felt confident any concerns would be addressed. People were encouraged to express their views on the service they received and to support continuous improvement.

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 this practice.

The provider had systems in place to monitor and provide good care and these were reviewed on a regular basis.

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

Rating at last The last rating for this service was Good (published 22 August 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Inspection carried out on 12 July 2017

During a routine inspection

The inspection took place on 12 July 2017 and 13 July 2017and was announced.

Peace of Mind Home Support is a domiciliary care service that provides personal care to people in their own homes. At the time of our inspection there were approximately people using the service.

There was a manager in post at the service who was in the process of becoming registered. 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 manager was supported to manage the service on a day-to-day basis by the two directors.

People were safe because the management team and staff understood their responsibilities to recognise abuse and keep people safe. People received safe care that met their assessed needs and staff followed clear processes to manage risk.

There were sufficient staff who had been recruited safely and who had the correct skills and knowledge to meet people’s needs and provide care and support in ways that people preferred.

The provider had systems in place to manage medicines and people were supported to take their prescribed medicines safely.

People were supported effectively with their health needs.

The Care Quality Commission (CQC) monitors the operation of the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS) which apply to care homes. We found the provider was following the MCA code of practice.

The management team promoted a strong culture of putting people at the centre of what they do and staff treated people as individuals.

People were treated with kindness and respect by staff who knew them well. Staff respected people’s choices and took their preferences into account when providing support.

Staff were attentive to people’s needs and respected their privacy and dignity.

The provider had systems in place to check the quality of the service and take the views and concerns of people and their relatives into account to make improvements to the service.

The provider had systems in place so that people could raise concerns and there were opportunities available for people or their representatives to give their feedback about the service.

The management team were visible and actively involved in supporting people and staff. Staff were enthusiastic and confident their views were valued by the management team..