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Comfort Home Care

Overall: Good read more about inspection ratings

Sunningmead Community Centre, Lazenby Road, Tiverton, Devon, EX16 4AL (01884) 251555

Provided and run by:
Mrs Victoria Burston

All Inspections

During an assessment under our new approach

About the service

Comfort Home Care is a domiciliary care agency that provides care and support to people living in their own homes.

Who the service is for

This includes people with a range of needs, including dementia, older people, sensory impairment, younger adults and people with a physical disability. Not everyone using the service received personal care. CQC only inspects services where people receive personal care. This is help with tasks relating to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection, 56 people were receiving the regulated activity of personal care.

We carried out this assessment between 4 September and 30 September 2026. This service was previously rated as good. We carried out this assessment to confirm whether the rating of good remains accurate. This report does not provide detailed information on areas where we found practice continues to meet a good standard. Instead, our findings focus on any areas where the service needs to improve or where we found exceptional practice.

The majority of staff who responded to our request for feedback had worked at the service for several years, which meant there was a stable core staff team. They told us they had a regular group of people which they visited and had built positive relationships with them. A staff member said, “I believe it is important to treat every person as an individual and provide care in the way I would want my own family members to be treated.”

Staff told us their induction experience had been positive and the role of the on-call staff provided additional support, which reassured them. For example, “I feel supported, enjoy working with the people we care for and feel that the company provides staff with the training and information needed to do their job well.”

The staff team were up to date in their training and therefore had the skills and knowledge to support people safely. A staff member explained, “Every day you learn something different” and commented the knowledge from their training enabled them to respond confidently to new situations. Staff received medicine training, with their practice observed and records audited.

The manager was clear about their responsibility to report safeguarding concerns, which was confirmed by a safeguarding referral made by the service. Staff also understood their duty to report changes, one said, “We are definitely encouraged to raise any concerns as the client's wellbeing and ours are always top of the list.”

The service had a robust quality assurance system, which included unannounced spot checks on care workers’ practice and record keeping including at weekends. Records linked to people’s care needs and the running of the service were well managed. The management team also had their work audited to ensure standards were maintained.

Care plans were person centred and provided clear up to date guidance on how people wished to be supported. Staff confirmed they had access to relevant information and were kept up to date with changes. Risks were assessed, for example, we saw from records how one person’s care needs had increased over time requiring more specialist equipment and additional staff involvement. Environmental risks were also addressed. A social care professional said, “I have always found that Comfort Home Care have a very clear understanding of their clients and their needs, which is evident when I review clients.”

The manager explained how as a company they took pride in the quality of palliative and end of life care provided by staff. Staff also commented on their role of supporting people with bereavement, which people using the service told us they appreciated. Staff were proud to share how they respected the people they worked with and valued their role in people’s lives.

Staff were positive about the level of support they received from the manager and office staff. They said, “Comfort Home Care is a lovely company to work for” and “I am always treated well and fairly and can always talk to my manager in any situation.” Office staff were also trained to deliver care so could step in when there was unexpected staff sickness or in an emergency. An on-call system for staff operated from 6am - 10pm 7 days a week. A staff member said, “I particularly appreciate the understanding and support I have received from the company when I have needed it. This has made me feel valued as an employee.” A social care professional said, “Generally speaking, staff get to know the clients well and from the feedback I have received from clients, they say that Comfort Home Care are very good.”

17 February 2021

During an inspection looking at part of the service

Comfort Home Care is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. Not everyone using Comfort Home Care receives a regulated activity, CQC only inspects the service being received by people provided with 'personal care', 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 being supported with personal care by this service.

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

We had received concerns that staff were not always following good infection control practices. This included not wearing personal protective equipment (PPE) in line with current guidance.

People and relatives told us; staff always wore the correct PPE during their visits. Comments included, “Very clean and sanitary, sticking by government rules especially with regards to PPE. Always go above and beyond.” Everyone we spoke with praised the care staff and the care they received.

Staff had received infection control training and had access to PPE. They were regularly tested in line with the government’s current testing program.

The registered manager had needed to implement the provider’s covid-19 contingency plan, which had caused some disruption to the service people received. Some people had found these slight changes upsetting. The registered manager had written to people to reassure them.

The provider’s infection prevention and control policy was up to date and staff had access to regular testing.

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 (published 23 February 2018).

Why we inspected

We undertook this targeted inspection to follow up on specific concerns which we had received about the service. The inspection was prompted in response to concerns received about infection control risks. A decision was made for us to inspect and examine those risks.

CQC have introduced targeted inspections to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question. We found no evidence during this inspection that people were at risk of harm from these concerns.

Please see the safe section of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Comfort Home Care on our website at www.cqc.org.uk.

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.

2 February 2018

During a routine inspection

Comfort Home Care was registered with the Care Quality Commission (CQC) in September 2016 as a domiciliary care agency. The service provides personal care to a range of older adults and younger adults living in their own houses and flats in Tiverton and the surrounding rural areas. These included people living with dementia, a physical disability or sensory impairment.

This was the first inspection of the service. The comprehensive inspection took place on 2 and 5 February 2018 and was announced.

There were 54 people receiving a service from the agency. Although the majority of people using the agency received a regulated activity, some received support visits only. CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. The time of visits ranged from 30 minutes to one hour, with the frequency of visits from once a week to five times a day. There were four people who required two care staff at each visit to support them. There were 25 full and part-time care staff employed.

The service does not have a condition on its registration with CQC that they required a registered manager. However the provider had decided in the interest of good governance that the manager apply for registration. The manager had undertaken their fit person interview with CQC and were awaiting the outcome. A registered manager is a person who has registered with CQC to manage the service. Like registered persons, 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. Since the inspection the manager has been registered with CQC.

People using the service, their family members, staff and health care professionals were happy with the care and praised the service provided. People were protected from abuse and harm because staff had a good understanding of how to respond to concerns. All of the management team provided personal care to people.

People received a service from staff that were recruited, trained and supported to provide a safe and effective service. All visits had been met and people were informed if a care worker might be late. Risks were assessed and managed in a skilled way to promote people’s welfare.

People received their medicines as needed and the service sought any health care advice from health care professionals.

People’s legal rights were upheld. They were involved in all decisions about their care, which was regularly reviewed. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Care workers had received training on the Mental Capacity Act 2005. They ensured people were asked for their consent before they carried out any care or support.

The agency provided a service which was caring, respectful and promoted people’s privacy and dignity.

People had confidence that any issue or complaint would be handled in their best interest.

The provider and manager were experienced and led by example. People’s views were regularly sought, checks made on the standards of care provided and the importance of continual improvement understood and followed through.