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Guardian Homecare (Preston) Good

The provider of this service changed - see old profile

Inspection Summary

Overall summary & rating


Updated 18 May 2019

About the service: Guardian Homecare (Preston) is a Domiciliary Care service. At the time of the inspection 538 people were in receipt of care in their own homes, 34 people in extra care housing as well as 155 as part of short-term care and support packages.

People’s experience of using this service: People told us they felt safe. Staff understood how to deal with any allegations of abuse. Systems were in place to record and act on any concerns. Risks were managed safely. Incidents and accidents were investigated and good evidence of the actions taken to ensure lessons learned was seen. Staff were recruited appropriately whist most people raise no concerns in relation to their visits, some felt staff were rushed and they were not always made aware when the staff changed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Relevant consent had been recorded in people’s records. People received support from health and social care professionals. The feedback about the skills of the staff team was on the whole positive. New staff received an induction on commencement to their role.

People were positive about their care and said they were treated with dignity and respect. Records confirmed people’s choices were considered and most people said they had been involved in decisions about their care. Care plans had been developed and these reflected people’s individual needs. The branch manager told us summary printouts were held in each persons home, however this was not consistently the case. The management team confirmed they would ensure all people had a summary printout of their needs in their home. Technology was used to good effect.

Complaints were managed appropriately, records were held that confirmed the outcomes of the concerns. People told us what they would do if they had any concerns.

The service was well managed. All grades of staff understood their roles and responsibilities and feedback about the management team was positive. Some feedback was that feedback had been sought from the service how not all people confirmed they had completed a survey. Audits were undertaken in the service and at senior level. These confirmed monitoring and observation of the service was ongoing.

Rating at last inspection: This was the first ratings since the service registered on 10 May 2018.

Why we inspected: This was a scheduled inspection.

Follow up: The service will be re-inspected as per our inspection programme. We will continue to monitor any information we receive about the service. The inspection may be brought forward if any risks are identified.

For more details, please see the full report which is on the CQC website at

Inspection areas



Updated 18 May 2019

The service was safe.

Details are in our safe findings below.



Updated 18 May 2019

The service was effective.

Details are in our effective findings below.



Updated 18 May 2019

The service was caring.

Details are in our caring findings below.



Updated 18 May 2019

The service was responsive.

Details are in our responsive findings below.



Updated 18 May 2019

The service was well-led.

Details are in our well-led findings below.