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Inspection Summary


Overall summary & rating

Good

Updated 28 March 2018

This was an announced comprehensive inspection carried out on 6, 7, and 21 February 2018.

At the last inspection in November 2016, we found people were not protected against the risks associated with medicines because the provider did not always have appropriate arrangements in place to manage medicines. Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions, safe and well led to at least good. At this inspection we found the provider had made the required improvements.

Ethical Homecare Solutions provides a domiciliary care service to adults and older people with varying needs and disabilities living within the Leeds area. The office, based in the Chapeltown area of Leeds is staffed Monday to Friday during office hours. An out of hours phone service is also available. At the time of this inspection the service was providing the regulated activity of personal care to 31 people who lived in their own homes. The service is provided to younger adults, older people, people living with dementia, people who may have a learning disability or autistic spectrum disorder, mental health issues and physical disabilities. Not everyone using Ethical Homecare Solutions receives 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.

There was a registered manager in post. 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 feedback we received from people was very positive throughout. People who used the service spoke highly of all staff and services provided. One person told us, "The whole experience has been first class, I couldn't have wished for a better team of people to care for me."

People's medicines were managed safely. The safety of people who used the service was taken seriously and the registered manager and staff were aware of their responsibility to protect people's health and wellbeing. There were systems in place to ensure that risks to people's safety and wellbeing were identified and addressed and lessons were learnt to ensure problems or mistakes were not repeated.

The whole staff team were highly motivated and proud of the service. The registered manager told us, "We have recruited some really special people who share our values of being trustworthy and caring and who recognise that dignity, respect and integrity are at the heart of what we do."

People were encouraged to be as independent as possible by staff they trusted and felt safe with. They were supported to lead as good a quality of life as possible. The service supported people to access activities which were meaningful to them. People's wellbeing, privacy, dignity and independence were respected and encouraged.

People were never rushed and staff took the time to support them in the right way. People who used the service valued the relationships they had with staff and expressed satisfaction with the care they received. There was an effective complaints procedure in place and people told us they knew how to complain.

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. Staff 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.

People were cared for by staff who were aware of their safeguarding responsibilities. Staff had received training in how to safeguard people

Inspection areas

Safe

Good

Updated 28 March 2018

The service was safe.

People were protected against the risks associated with unsafe use and management of medicines.

Staff had received training in safeguarding so they would recognise abuse and know what to do if they had any concerns.

People received care from staff who took steps to protect them from unnecessary harm. Risks had been appropriately assessed and staff had been provided with clear guidance on the management of identified risks.

People were protected through the provider's recruitment procedures. These procedures helped ensure staff were suitable to work with vulnerable people.

Effective

Good

Updated 28 March 2018

The service was effective.

People were cared for by staff who had received sufficient training to meet their individual needs.

People were cared for by staff who received regular and effective support and supervision.

Staff promoted and respected people's choices and decisions.

The registered manager and staff had a good understanding of the Mental Capacity Act 2005 (MCA).

Where it formed part of people's care, they were provided with a healthy diet which promoted their health and well-being and took into account their nutritional requirements and personal preferences.

Caring

Good

Updated 28 March 2018

The service was caring.

The registered manager and staff were committed to providing care that was kind, respectful and dignified.

People who used the service valued the relationships they had with staff and expressed satisfaction with the care they received.

People felt that their care was provided in the way they wanted it to be.

Responsive

Good

Updated 28 March 2018

The service was responsive.

People’s needs were assessed and care plans to meet their needs were developed and reviewed with their involvement. Staff demonstrated a good understanding of people’s individual needs and preferences.

People had opportunities to engage in a range of social events and activities.

People were actively encouraged to give their views and raise concerns or complaints because the service viewed concerns and complaints as part of driving improvement.

Well-led

Good

Updated 28 March 2018

The service was well led.

The management team promoted strong values and a person centred approach. There was an open culture where 'lessons learnt' were encouraged.

People, families and care workers suggestions and feedback were welcomed and taken into account to improve the service.

There were robust systems to assure quality and identify any potential improvements to the service. This meant people benefited from a constantly improving service that they were at the heart of.

The service played an important part in the community and fostered links with other organisations to benefit people.