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Inspection Summary

Overall summary & rating


Updated 18 December 2019

About the service

Homestead Care is a domiciliary care service providing care for people in their own home, in Gillingham and surrounding areas. Not everyone who used the service received personal care. 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. At the time of the inspection 18 people were using the service.

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

People were supported by staff who had received safeguarding training and knew how to keep them safe from harm or abuse. People told us they felt safe. People’s individual risks were assessed and regularly reviewed with theirs and, where appropriate their relatives’ input. When people required support with their medicines this was provided by staff with the relevant training and competency assessments. The service had improved recruitment and selection procedures that helped ensure people were supported by staff with the required skills, values and character. Accidents, incidents and near misses were recorded and analysed to identify themes and trends with learning shared with staff to prevent a re-occurrence.

People felt fully involved and consulted on all aspects of their care including when this needed reviewing. People felt listened to and able to express their views. The service ensured people were at the centre of decisions affecting their lives. Staff received a formal induction that included shadowing and practice observations. This helped create confident, empowered care staff who delivered high quality care in line with standards, guidance and the law. Training covered a variety of topic areas to ensure each person’s needs were met. The service supported people to access health and social care services in a timely way in order to maintain their health and wellbeing. This included access to community nurses, GPs and dental services.

Staff had a good understanding of the principles of the Mental Capacity Act 2005 including how to support people to make informed decisions. 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. Staff always sought people’s consent before helping them.

People and relatives spoke positively about the care staff. They said staff were all consistently kind, caring and patient and had got to know them well. People told us staff arrived on time and stayed for the correct duration. Staff confidently described how they supported people’s privacy, dignity and independence.

People were supported by staff who enjoyed working for Homestead Care and felt supported by their colleagues and management. Staff felt recognised and valued. Records confirmed they received regular praise and encouragement; including to develop new skills and qualifications. Surveys were used as an opportunity to learn what the service was doing well and where it could improve. Feedback was unanimously positive from people, healthcare professionals and community services. A wide range of audits were carried out which had helped deliver improved oversight and identify areas where actions were required. These were then tracked and resolved.

The service had developed and maintained good working relationships with agencies and community resources such as GP practices, local authority, community mental health and reablement teams. This had helped people remain well in their homes for longer and supported successful transition from hospital. The service had recognised the role it could play in the community demonstrated by its sponsorship of a local school. This had enabled the school to produce books for their pupils on topics including bullying and internet safety.

Rating at last inspection and update

The last rating for this service was requires imp

Inspection areas



Updated 18 December 2019

The service was safe.

Details are in our safe findings below.



Updated 18 December 2019

The service was effective.

Details are in our effective findings below.



Updated 18 December 2019

The service was caring.

Details are in our caring findings below.



Updated 18 December 2019

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 18 December 2019

The service was not always well-led.

Details are in our well-led findings below.