Background to this inspection
Updated
1 January 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection which included notifications of significant events as well as the last inspection report. We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager and another member of the office staff team. We reviewed a range of records. This included 10 people’s care records and five staff files in relation to recruitment and staff supervision. We also reviewed a variety of records relating to the management of the service, including quality monitoring documents.
After the inspection
We used the information the provider sent us in the provider information return. This document was due after the date of our inspection. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We spoke with five care workers, eight people using the service and two of their relatives.
Updated
1 January 2020
About the service
Haslemere Homecare is a domiciliary care service providing personal care to approximately 130 people at the time of the inspection. People using the service were usually over the age of 65 and had varying physical and mental health needs.
People’s experience of using this service
People were safeguarded against the risk of social isolation. Care plans were personalised and holistic. There was a clear complaints policy and procedure in place and care workers communicated effectively with people.
The provider recorded information about people’s end of life care needs.
People’s privacy and dignity, equality and diversity was respected and promoted. People were involved in decisions about their care. People’s needs were assessed before they started using the service and care was delivered in line with current standards and professional advice.
The provider supported people to be as independent as they wanted to be and their health and nutritional needs were met.
The provider mitigated risks to people’s health and safety as well as their risk of abuse. There were enough staff available to support people. The provider conducted appropriate pre- employment checks to ensure candidates for employment were safe to work with people. There were clear medicines and accident and incident policies and procedures in place.
People and staff were consulted in order to obtain their feedback. The registered manager understood and met their duty of candour responsibilities. The registered manager, care workers and other staff understood and fulfilled their roles. Quality assurance systems were in place and followed to improve the quality of the service.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
The last rating for this service was good (published 5 June 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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 we receive any concerning information we may inspect sooner.