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Alina Homecare Basingstoke Good

Inspection Summary


Overall summary & rating

Good

Updated 23 June 2018

This announced inspection of Alina Homecare Basingstoke took place between 9 and 18 May 2018.

The service is a domiciliary care agency which provides personal care to people living in their own homes. It provides a service to older and younger adults, people living with dementia, autistic spectrum disorder, physical disability, mental health needs and sensory impairment. The service enables people living in Basingstoke and the surrounding areas to maintain their independence at home. At the time of our inspection there were 36 people using the service, who had a range of health and social care needs which were met by 20 staff.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

People were supported by staff who made them feel safe. People experienced good continuity and consistency of care from regular staff, which reassured them and lessened their anxiety. People were kept safe by staff who understood their roles and responsibilities in relation to safeguarding procedures and how to protect people from avoidable harm and abuse.

Risk assessments identified how potential risks should be managed to reduce the likelihood of people experiencing harm. Staff understood the risks to people and delivered safe care in accordance with their support plans.

Records showed staff had been given training on how to deal with different types of emergency, for example; where people experienced health conditions which may require support in an emergency, this was clearly detailed within the person’s care records.

Incidents and accidents were recorded appropriately and investigated where necessary. Any learning or changes to support plans or support guidelines were discussed and action was taken to reduce the risk of further incidents and accidents.

The management team completed a daily analysis to ensure there were always sufficient staff deployed to meet people’s needs. Staff underwent relevant pre-employment checks to ensure they were suitable to care for people made vulnerable by the circumstances in their own home.

Staff had completed the required training to manage people’s prescribed medicines safely and had their competency to do so regularly assessed by the management team.

People were supported by staff who underwent the provider’s training programme and understood their roles and responsibilities in relation to infection control and hygiene. Staff followed current national guidance to ensure people were protected from the risk of infections.

Staff had the required skills and knowledge to provide the support people needed. Records demonstrated that required staff training was up to date, which ensured that staff had been supported to gain the necessary skills required to meet people’s needs and to maintain them.

The management team effectively operated a system of spot checks, supervision, appraisal and monthly meetings which supported staff to deliver care based on best practice.

People were protected from the risks of malnutrition and supported to eat a healthy diet of their choice, by staff who had completed training in relation to food hygiene and safety.

Staff demonstrated concern for people’s wellbeing in a meaningful way and responded to their healthcare needs quickly when required.

Whilst the service did not provide accommodation, the field care supervisor effectively supported people to ensure their individual needs were met by the adaptation, design and decoration of their homes.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible. The service was working within the principles of the Mental Capacity Act, 2

Inspection areas

Safe

Good

Updated 23 June 2018

The service was safe.

Staff had developed positive and trusting relationships with people that helped to keep them safe.

Staff supported people to manage risks to their safety, whilst promoting their independence.

There were enough suitably skilled staff deployed to meet people's needs safely.

People's medicines were managed safely by staff who had their competence to do so regularly assessed.

Effective

Good

Updated 23 June 2018

The service was effective.

People's needs and choices had been assessed and staff delivered care and support in line with current legislation and guidance to achieve effective outcomes.

Staff received appropriate supervision and support to ensure they had the required skills and experience to enable them to meet people's needs effectively.

People were supported to make their own decisions and choices and their consent was always sought in line with legislation.

People were supported to eat a healthy, balanced diet of their choice, which met their dietary requirements.

Caring

Good

Updated 23 June 2018

The service was caring.

People were consistently treated with kindness, respect and compassion, and were given emotional support when needed.

Staff supported people to express their views and be actively involved in making decisions about their care

People were treated with dignity and respect at all times and without discrimination.

Responsive

Good

Updated 23 June 2018

The service was responsive

People, their families and staff were involved in developing their care, support and treatment plans.

People knew how to complain and had access to provider's complaints procedure in a format which met their needs.

The service provided kind and compassionate end of life care which ensured people experienced a comfortable, dignified and pain-free death.

Well-led

Good

Updated 23 June 2018

The service was well-led.

The manager promoted a positive culture that was person-centred, open, inclusive and empowering, which achieved good outcomes for people.

The registered manager operated effective quality assurance systems, which identified and managed risks safely.

The manager collaborated effectively with key organisations and agencies to support care provision, service development and joined-up care.