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Inspection Summary


Overall summary & rating

Good

Updated 28 December 2019

About the service

Thurrock Care at Home is a domiciliary care agency that provides personal care to people living in their own homes. At the time of inspection 108 people were using the service.

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

People were very positive about the quality of the care and management of the service. People received a safe service as staff were knowledgeable about safeguarding procedures. Risks to people's safety were assessed, recorded and appropriate action was taken to keep people safe.

There were enough staff deployed to meet people's needs. The correct recruitment procedures were followed to ensure staff were suitably employed to work with people in their own homes.

People’s medicines were administered and managed safely by trained and competent staff, and people received them as prescribed. Correct infection control procedures were followed. Lessons were learnt, and the service had been improved when things had gone wrong.

The service assessed people’s needs and worked in line with current good practice. Staff were trained and supported to ensure they delivered effective care and support to people. People received consistent and timely care which met their needs and circumstances. Where support was provided with food and drink, people had choice over their meals.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People told us they felt very cared for by staff who were caring, kind and considerate. Staff understood the importance of involving people in their care and promoting their independence. They enabled people to live in their own homes with confidence. People received an individualised service and their privacy and dignity was respected. Staff had developed positive relationships with people and their families.

People's care plans were personalised and contained all relevant information to respond to their needs. Reviews of people’s care were undertaken to ensure they were up to date. People knew how to make a complaint about the service. People received thoughtful and respectful end of life care.

The service was managed and led by an efficient and robust management team. Staff were valued and respected and clear about their roles and responsibilities. A quality assurance process was in place which ensured oversight of all aspects of the service. The service worked well with other professionals to ensure people received personalised and high quality care.

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 Requires improvement (published 24 September 2018) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations

Why we inspected

This was a planned inspection based on the previous rating.

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 28 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 28 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 28 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 28 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 28 December 2019

The service was well led.

Details are in our well led findings below.