3 April 2019
During a routine inspection
The Helping Hands Group is a domiciliary care agency that provides the regulated activity of personal care to younger adults, including those with physical and learning disabilities in their own home or supported living accommodation. The service was providing personal care to one person at the time of the inspection.
People’s experience of using this service:
The care service has been developed and designed in line with the values that underpin Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
The service did not undertake robust recruitment checks on potential new staff to make sure they were suitable. The governance system and audits undertaken had not found the concerns identified during this inspection.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People and their relatives were involved in discussions about their care.
Relatives of people were happy with the care and support their family member received from staff. Staff encouraged people to complete tasks independently, or with minimal support where possible. This support from staff aimed to enable people to be as independent as possible. Staff assisted people in a caring and compassionate way.
Staff knew about safeguarding people from harm or poor care. Staff knew how to report their concerns internally and externally to local safeguarding authorities.
Staff undertook a pre-assessment on people new to the service. This established what care and support a person required and whether staff were trained to meet these needs. People and their relatives were involved in their care decisions and the planning of their day-to-day care. Staff monitored people’s assessed risks. Guidance and training was in place for staff on how to support people with these risks. This included a personal emergency evacuation plan which gave information to staff in the case of an emergency such as a fire.
Staff respected and promoted people’s dignity and privacy. People's prescribed medicines administration records were not always accurately completed by staff. People were supported by staff with their food and drinks to make sure they were eating and drinking healthily.
People’s personal information was confidentially stored within the office. There were enough staff to meet people’s needs and people received their care visits on time. People were kept safe from risks of infection and cross contamination, and new staff received an induction when new to the service. Staff received supervision and training to ensure that they could effectively carry out their role. Staff learnt lessons from incidents and near misses that happened to help reduce the risk of the incident happening again.
Staff worked with other external organisations to help support and promote people’s well-being. Staff gave people information in different formats, when needed, to help people with their understanding.
People and their relatives were given the opportunity to feedback on the quality of the service provided. People and their relatives were given information on how to raise a complaint and their concerns were listened to, investigated and resolved where possible.
Rating at last inspection: At the last inspection the service was rated good. The report was published on 4 October 2016.
Why we inspected: This was a planned inspection based on the rating at the last inspection.
Enforcement: We identified one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 relating to fit and proper persons employed. This was because staff recruitment processes were not robust enough to ensure only suitable staff were employed. Details of action we have asked the provider to take can be found at the end of this report.
Follow up: We will continue to monitor information 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