Archived: Home from Home

Updated 22 June 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 10 February 2016 was unannounced and undertaken by one inspector. Before the visit to the registered address, we reviewed information held by us on the provider. This included details of statutory notifications, which are details of incidents that the provider is required to send to us by law. We also spoke with the local social services and commissioning teams and reviewed information available by the local Healthwatch organisation.

During the inspection, we spoke to people who used the service. At the time of inspection, there was only one person who used the service. We spoke with the provider who was also the registered manager. The provider delivered the care and support needs of the people who used the service. In addition, we observed interactions between the provider and people who used the service.

We looked at the care records that the provider kept. This included their medicine, money management processes and risk assessments. We also looked at records maintained by the provider about the quality of the service.

Updated 22 June 2016

This inspection took place on 10 February 2016, was unannounced and undertaken by one inspector. Before the visit to the registered address, we reviewed information we held. This showed that at the last inspection on 19 August 2014 the provider was compliant with the CQC regulations it was inspected against.

Home from Home is a small residential care home. The regulated activity is accommodation for persons who require nursing or personal care but with a condition that the registered provider must not provide nursing care at the registered location. Home from Home provide care to a maximum of two people. At the time of inspection there was only one person receiving a service from the provider.

There was a condition that the service required 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. We confirmed during the inspection that a registered manager was in post.

People told us they liked living at the home and that they felt safe. This showed in the way people were at ease and relaxed in the company of the provider. We saw that the provider cared for people so that their well-being and safety was promoted.

The provider undertook assessments of risk to people who used the service and wrote plans on how to manage the risks to keep people safe. The provider understood how to protect people from abuse and harm and was able to talk about how to protect people from bullying and harassment. The provider was knowledgeable about how to report any concerns to relevant organisations.

There were arrangements in place to help protect people from the risk of financial abuse and for ensuring people received their medication safely.

The provider had supported and provided care for people who used the service for many years and used this knowledge about people’s needs, preferences and choices in planning the support required by people.

We saw that the provider sought peoples consent in day to day decisions and that they supported people to make bigger and more complex decisions. All decisions were undertaken in people’s best interests.

People were given food they liked and enjoyed eating. The provider ensured that people received a varied range of healthy cooked foods. The provider had good knowledge of people’s health issues and changes in their health.

People liked living at Home From Home. They were able to do activities they liked doing. People were involved in decisions about the home and the provider talked with people regularly about the things people wanted to do.

The provider worked with people in a caring and respectful way and was available at all times to meet people’s requests. The provider delivered care in a sensitive way such that people’s dignity was maintained and their privacy promoted.

The provider recorded and reviewed information of people's likes and dislikes, routines and support needs to ensure people received a responsive service.

The provider ensured that people’s preferences were taken into account and that their needs were met on a day to day basis. The provider made changes to people’s care and support needs when needed, including the purchase of additional equipment for people.

The provider had a system for capturing people’s concerns and complaints.

The provider had a registered manager in place therefore fulfilling the condition on their registration. The provider had systems in place to ensure the CQC were informed of notifiable incidents.

The provider was a sole owner, registered manager and provider of the care and support to the one person who resided at Home from Home. Therefore, the systems for quality audits and governance were proportionate to the size of the provider.