We carried out a review of the data available to us about Holderness Home Care Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Holderness Home Care Limited, you can give feedback on this service.
Holderness Home Care Limited is a domiciliary care service which is registered to provide personal care to people living with dementia, mental health needs, older people, a physical disability or sensory impairment. At the time of the inspection the service provided support to 46 people.
Not everyone who used the service received personal care. The Care Quality Commission (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
People’s experience of using this service and what we found
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.
Care provided was person-centred. People were encouraged to get out and about in their communities and were supported to visit the office and local cafes. Calls were electronically monitored, and people confirmed that regular staff attended on time.
People received safe care and support, because systems and processes in place ensured any risks were safely managed by staff, and their needs met with minimal restrictions in place. Staff had received training and clear guidance was followed to help people understand how to remain safe from avoidable harm and abuse.
Medicines were managed and administered safely. Records confirmed people had received their medicines as prescribed.
People were involved in planning their care. Records were person-centred and evaluated consistently. Where agreed outcomes were not achieved, amendments were made with people's input.
Staff received appropriate induction, training, and support and applied learning effectively in line with best practice. This led to good outcomes for people and supported a good quality of life.
The service was well managed. Staff at all levels had a clear understanding of their roles and responsibilities and when to escalate any concerns for further investigation and transparency.
Quality assurance remained a priority. Checks included audits and feedback. Further oversight from the registered manager ensured the service remained effective. Standards were maintained, and where improvements were required, these were actioned.
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 (report published 27 September 2017).
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.
Holderness Home Care is a small domiciliary care agency which is located in Withernsea, a village in the East Riding of Yorkshire. The service provides personal care and support to people living in their own home. At the time of the inspection 25 people were supported by the service.
The service had a manager who was registered in August 2016. 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 registered manager (who is also the registered provider) was present during this inspection. The registered manager will be referred to as 'manager' throughout the report.
Staff understood they had a duty to protect people from harm and abuse. They understood how to report concerns about potential abuse to the manager or local authority. This helped to protect people.
Care plans were in place to inform staff about people's individual needs. Risks to people's health and wellbeing, as well as potential risks in their home environment, were assessed and monitored. Staff contacted relevant health professionals for help and advice to help maintain people's health and wellbeing.
We looked at how the service was staffed. Two staff members spoken with said they were happy with how their visits were managed. They told us they were allocated sufficient time to be able to provide the support people required. We visited two people who used the service. They informed us they were satisfied with the care they received. They told us they were supported by the same group of staff who were reliable and never let them down with late or missed visits.
An 'on call' system was in place. This was provided by a care supervisor and the manager.
Staff had received infection control training during induction and were provided with a plentiful supply of appropriate personal protective equipment such as disposable gloves and aprons. This meant staff and people who used the service were protected from potential cross infection when delivering personal care.
We found staff had the skills, knowledge and experience required to support people with their care and social needs. All staff received induction training which included subjects such as information governance, health and safety, basic life support, moving and handling and safeguarding. They worked alongside experienced staff and had their competency assessed before they were allowed to work on their own.
Staff we spoke with understood that if people lacked capacity to make their own decisions then the principles of the Mental Capacity Act 2005 must be followed. Staff we spoke with told us how people consented to the care and support they received.
Staff were caring and they worked in ways which helped people to remain as independent as possible. Assistance was provided with preparing food and drinks as people needed. People told us the staff who visited them treated them with dignity and respect at all times.
People were provided with a complaints policy. This gave people information about how to make a complaint and how the issue raised would be investigated and responded to.
The care records of people, including people's medicine administration records, were looked at by the manager when they were returned to the service office for storage. They were also inspected during 'spot checks' undertaken by a care supervisor to monitor the quality of the service.
People spoke positively about the way the service was run. The manager and staff understood their respective roles and responsibilities. Staff told us that the manager was approachable and understanding.