You are here

This service was previously registered at a different address - see old profile

We have edited an inspection report for 1st Homecare (Oxford) Ltd in order to remove some text which should not have been included in this report. This has not affected the rating given to this service.

Inspection Summary


Overall summary & rating

Good

Updated 19 October 2019

About the service

1st Homecare is a domiciliary care agency that was providing personal care to 37 people at the time of the inspection. Not everyone using the service received personal care. The 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

The service was exceptionally responsive to people's needs and immediately acted upon any occurrences. Staff went above and beyond the call of duty to provide individualised, person centred, high quality care. The service listened to people and implemented changes to the service to accommodate their needs and wishes. People and their relatives told us the service provided excellent care that exceeded their expectation.

The management and leadership of the service were exceptional. The management team had an excellent understanding of the provision of care and support for people with complex needs. There was an excellent culture within the service which promoted clear values and a drive to provide high quality care. The high quality, compassionate culture was embedded through every part of the organisation and ensured every person received exceptionally person-centred care.

People told us staff had enough time to support them and they had not experienced any missed visits. Staff were aware of what might be a safeguarding concern and explained how they would raise it. Risk assessments ensured people were supported to manage risks in their daily lives. There were systems in place to ensure people received their medicines safely. Staff were recruited safely.

Initial assessments were carried out to ensure people's needs could be met. These were used to produce personalised care plans and to guide staff on how to best support people. People were enabled to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Staff acted in people's best interests; the policies and systems in the service supported this practice. Staff had the right skills and experience to meet people's needs. A comprehensive induction and training programme were completed by all staff.

People and their relatives told us staff were caring, kind and polite. Staff treated people with dignity and respect. People and their relatives told us they felt able to express their views and had been involved in making decisions about people's care.

The provider had an up to date complaints procedure and people and their relatives told us they would know how to make a complaint if they needed to.

People, their relatives and staff were complimentary of management team. The provider had effective quality assurance systems in place which were used to drive improvements. The management team promoted a caring ethos at the service, which was supported by passionate and dedicated staff.

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 (21 March 2019).

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.

Inspection areas

Safe

Good

Updated 19 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 19 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 19 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 19 October 2019

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 19 October 2019

The service was well-led.

Details are in our well-Led findings below.