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Adina Home Care Services Good

Inspection Summary


Overall summary & rating

Good

Updated 22 August 2018

Adina Home Care Services provides a range of services to people in their own home including personal care. People using the service had a range of needs such as learning and/or physical disabilities and dementia. At the time of our inspection 41 people were receiving personal care in their own homes.

Not everyone using Adina Home Care Services receives a regulated activity. CQC only inspect the service 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.

The service had a registered manager. 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.

People told us they were safe. There were safeguarding systems and processes to support care workers to protect people from avoidable harm. Care workers underwent appropriate recruitment checks before they started to work at the service. At this inspection, the service had ensured there were sufficient staff to meet people's needs safely. This also included needs of people related to support with medicines and hygiene.

Care plans were detailed and person-centred. People had their needs assessed across a wide range of areas and care plans included guidance about meeting these needs. Care workers understood the Mental Capacity Act 2005 (MCA). The service was aware of the need to assess people's capacity to make specific decisions. Care workers were supported to have the skills and knowledge to carry out their role. They had received an induction and essential training. People were supported to have sufficient amounts to eat and drink.

Care workers told us that the registered manager was supportive. They had received regular supervisions and appraisal. Spot checks were also a regular occurrence to monitor performance. People who used the service told us that staff were kind and caring.

People and their relatives were involved in their care. Care workers knew people well and could describe to us how people liked to be supported. The service shared with us many good examples of person centred care. There was a complaints procedure which people and their relatives were aware of. People felt they would be listened to if they needed to complain or raise concerns. The Accessible Information standard was understood by the management team.

The registered manager was knowledgeable about issues and priorities relating to the quality and future of the service. There were effective governance arrangements. There were systems to assess, monitor and improve the quality of the service provided.

Inspection areas

Safe

Good

Updated 22 August 2018

The service was safe. There were safeguarding systems and processes to protect people from avoidable harm.

Risks to people were minimised because there were effective systems and processes in place.

Care workers had been recruited safely. They underwent appropriate recruitment checks before they started to work at the service.

The service had processes in place to reduce the risk of infection and cross contamination.

There were systems in place to ensure people were supported with their medicines. Care workers had received medicines training.

Effective

Good

Updated 22 August 2018

The service was effective. People's needs had been assessed before they started to use the service. Care plans included guidance about meeting these needs.

Care workers understood the Mental Capacity Act 2005 (MCA).

Care workers received an induction before they could provide care to people. Regular training and support were provided continuously.

Care workers received monthly supervisions, regular spot checks and an annual appraisal.

People were supported to have sufficient amounts to eat and drink.

Caring

Good

Updated 22 August 2018

The service was caring. Care workers had a good understanding of protecting and respecting people's human rights.

They understood the importance of treating people fairly, regardless of differences.

The service recognised people�s rights to privacy and confidentiality.

People were supported to maintain their independence.

Responsive

Good

Updated 22 August 2018

The service was responsive. People told us that they received personalised care that met their needs. We saw good examples of person-centred care throughout the inspection.

Care workers were knowledgeable about people�s needs and could describe how people liked to be supported.

Care plans were regularly reviewed to ensure they reflected people's changing needs and wishes.

The service had a complaints procedure which people and their relatives were aware of.

Well-led

Good

Updated 22 August 2018

The service was well-led.

The registered manager had the knowledge and skills to deliver good quality care.

The registered manager was knowledgeable about issues and priorities relating to the quality and future of the service.

A range of quality assurance processes such as surveys, audits, accidents and incidents and spot checks had been used continuously to drive improvement.