During an assessment under our new approach
Home Instead Enfield is a domiciliary care service providing personal care to people living in their own homes. Personal care includes support with tasks related to personal hygiene and eating and drinking. At the time of this assessment, the service was supporting 32 people with personal care.
We carried out this assessment remotely between 11 September and 14 October 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.
Safeguarding systems and processes were operated effectively. There was a clear learning culture within the service, based on openness, honesty and transparency. People were involved in managing risks, and staff responded promptly to new and emerging risks. Systems and processes for managing accidents, incidents and untoward events were effective.
Systems and process to ensure safe management of medicines were in place. Staff were trained and were assessed as competent to administer medicines safely.
There were enough staff to meet people’s needs. Before people started using the service their needs were assessed. Staff worked together both internally and with external agencies.
Consent to provide care was obtained by staff. Where appropriate, people were supported to access GP and primary care services.
Systems and processes for audit, quality assurance and scrutiny of practice, including spot checks, were operated effectively. The service sought feedback from people, which was valued and acted on by the registered manager.
The provider created a highly open and supportive culture where staff felt safe to raise concerns. Staff described the registered manager as approachable, visible and genuinely committed to their wellbeing, fostering a culture where concerns were welcomed and continuous improvement was encouraged.
Staff knew people well and provided consistent support. They responded promptly when people’s health needs changed, sought advice from healthcare professionals and helped to prevent avoidable hospital admissions.
People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences.
Staff understood people’s communication needs and used appropriate methods to communicate effectively. The culture of the service was positive and person-centred. Staff enjoyed their work and reported good team morale.