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Carers Direct Homecare Ltd Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 10 March 2020

Carers Direct Homecare is a domiciliary care service providing personal care to people in their own homes. At the time of the inspection the service was providing personal care to 128 people.

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.

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

People felt safe with staff from the service. Care plans and risk assessments provided guidance for staff to follow to reduce risk to people’s safety. Staff understood how to protect people from the risk of harm and understood potential signs of abuse.

People and relatives were involved in assessments of potential risks to safety and in identifying measures to keep them safe. Staff went through a recruitment process so the provider only employed suitable staff, though the system was not fully robust.

People and relatives said people received their prescribed medicines. There were a small number of records with gaps in dosages to be supplied. People were protected from the risk of infections through staff working practices. People had enough staff to meet their needs. Staff undertook induction training which provided them with the knowledge and skills to do their job well and effectively meet people’s needs.

People were provided with care and support that ensured they had good nutrition and hydration. They had access to healthcare which maintained their health and wellbeing. People were supported to have choice and control of their lives and staff supported them to do this.

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 knew people well. People had developed positive relationships with staff which helped to ensure good communication and support. Staff respected people’s privacy and dignity and encouraged people to be as independent as possible.

People or their representatives were involved and consulted when making changes to how their support was provided. Staff knew and understood the needs of the people using the service and care was provided based on their assessed needs. Staff were responsive to changes in people's needs to ensure people received timely help to maintain their health and well-being.

People and relatives knew how to raise any concerns or make a complaint. The provider had a policy and procedure which involved investigation and solutions to put things right. This provided information about how these would be managed and responded to.

Systems were in place to monitor the quality of care and support people experienced through quality assurance systems and processes to drive improvements in the service. However, the system needed to be more thorough.

People, relatives and staff spoke positively about the management and leadership of the service. People said staff were very friendly and caring, and they had good relationships with them.

The service worked in partnership with external agencies to ensure people achieved good outcomes from their care and support.

Rating at last inspection:

The last rating for this service was good. The inspection report for this inspection was published in July 2017.

Why we inspected:

This was a planned inspection based on the previous rating .

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 10 March 2020

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 10 March 2020

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 10 March 2020

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 10 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 10 March 2020

The service was well led.

Details are in our Well led findings below.