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Global Excellence Services Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 28 February 2020

About the service

Global Excellence Services Ltd is a Domiciliary Care Agency providing personal care in people’s own homes. At the time of the inspection there were two people who were receiving personal care.

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

Systems to monitor the quality and safety of the service had not always been effective at identifying where the registered provider needed to make improvements. For example, care records and risk assessments did not detail how risks would be managed effectively. These records were updated following our visit and evidence provided to us.

People told us they were assured staff would arrive on time for calls and told us calls had never been missed.

People were supported by staff who knew them and their needs well. There were sufficient staff members employed by the service to support service users.

We saw staff have received training in line with the needs of people using the service and have completed the care certificate.

We were told by family members that that their relatives had a good relationship with the staff and they felt safe and cared for.

People told us the service was flexible around their needs and wishes and call times were adjusted to suit their daily lives.

We saw from care records and by talking to families, people were supported to remain independent when possible.

The provider and staff could tell us how of the Mental Capacity Act 2005 (MCA) was applied to supporting people using the service and how to keep them safe.

We saw people were supported to have maximum choice and control of their lives and staff supported them in their best interests; the policies and systems in the service supported this practice.

Information about the service was not provided in different formats to suit individual needs. For those who may have sight impairment or a learning disability information was not available in a format to suit their communication needs.

We saw staff had not received end of life training. There were no care plans in place to guide staff on action to take in the event of deteriorating health or death of a service user.

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

Rating at last inspection

This service was registered with us on 09/02/2018 and this is the first inspection.

Why we inspected

This was a planned inspection based on the registration.

Inspection areas

Safe

Requires improvement

Updated 28 February 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 28 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 28 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 28 February 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 28 February 2020

The service was not always well-led.

Details are in our well-Led findings below.