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Inspection Summary


Overall summary & rating

Good

Updated 3 March 2018

Home Instead Senior Care (Warrington) is a registered domiciliary care agency based in Cheshire that provides personal care to people in their own homes. The service is part of a network of Home Instead Senior Care franchises. At the time of the inspection 41 people were receiving a regulated activity from the service.

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good.

Why the service is rated Good.

The service met all relevant fundamental standards.

A registered manager was 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 majority of people spoke positively about the management of the service and the approachability of senior staff. However, there were a small number of concerns raised about the quality and timeliness of communication by some people using the service.

The service had a clear structure and performance framework which helped to define roles and responsibilities. A substantial and regularly updated set of policies and procedures provided guidance to staff regarding expectations and performance. We saw evidence that staff had been challenged when their performance did not meet the required standards.

Staff and managers spoke with clarity and enthusiasm about their roles and demonstrated a mature and transparent approach when questions were raised during the inspection.

The service had used safety and quality audits to identify and address issues relating to; staff conduct, medication errors and late calls. Information had been used effectively to improve practice and to inform further development.

People and their relatives told us that the service was safe, and the service maintained effective systems to safeguard people from abuse. Staff were aware of what to look out for and how to report any concerns.

Individual risk was fully assessed and reviewed. Positive risk taking was encouraged to improve people’s skills and promote their independence.

Staff were safely recruited and deployed in sufficient numbers to provide safe, consistent care and support. The employment records for staff were maintained to a high level and showed clear evidence of employment histories, photographic identification, references and checks.

Staff were trained in the administration of medicines and had their competency checked. Medicines were stored and administered in accordance with best-practice guidelines. Where an error had been identified, the service had taken immediate action to improve practice.

The service trained staff to a high standard in appropriate subjects and supported with regular supervision and appraisal. Training was subject to regular review to ensure that staff were equipped to provide care and support. Staff had been provided with additional, specialist training where necessary. New staff completed the Care Certificate to ensure that they were competent to deliver care before they were offered a permanent contract.

We saw evidence of staff working effectively in partnership with healthcare services to deliver positive outcomes for people. People were also supported by staff to maintain their health and wellbeing through access to a wide range of community healthcare services and specialists as required. For example, local dementia services and the stroke association.

The service operated in accordance with the principles of the Mental Capacity Act 2005 (MCA). It was clear from care records and discussions with people that their consent was always sought in relation to care and treatment.

People told us that staff treated them with kindness and respect, and it was clear from our discussions that staff knew people, their needs and preferences well

Inspection areas

Safe

Good

Updated 3 March 2018

The service remains Good.

Effective

Good

Updated 3 March 2018

The service remains Good.

Caring

Good

Updated 3 March 2018

The service remains Good.

Responsive

Good

Updated 3 March 2018

The service remains Good.

Well-led

Good

Updated 3 March 2018

The service remains Good.