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House of Care Services Ltd Requires improvement

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 21 March 2019

About the service:

House of Care Services Ltd is a domiciliary care provider supporting people in their own homes. Not everyone using House of Care Services Ltd receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of the inspection the service supporting 23 people, 22 of whom were supported with personal care

People’s experience of using this service:

People had signed consent forms to indicate they were happy for care to be provided and delivered. They had also signed copies of care plans and other documents. In some instances, whilst people had capacity to agree to care, relatives had signed consent forms and other documents without the legal authority to do so, meaning appropriate consent had not been obtained. Where people did not have capacity to agree and consent to care then the service had undertaken reviews of their capacity and best interest decisions made. Whilst these were documented they were not always specific and fully in line with the requirements of the Mental Capacity Act 2005 (MCA).

Prior to the delivery of care people’s needs had been assessed and care plans reflected these assessed needs. Risk assessments had been undertaken with regard to the environment and also care, such as risks associated with moving and handling and supporting people with medication. Risk assessments were not always regularly reviewed and updated or did not always reflect current care practice.

People told us they received good care and felt safe when being supported by care workers. Care was usually provided by a small, familiar group of care staff. People said care staff arrived on time and stayed and supported them for the full allocated period. If staff were delayed the service advised people of the delay. People told us no appointments had been missed.

People’s preferences, wishes and choices were recorded and respected. They said staff supported them in a way that maintained their dignity. People were also encouraged to maintain their independence and to carry out as many tasks for themselves as they could.

People considered staff to have the correct skills to support them. Staff had received a range of training and had access to regular supervisions and appraisals.

The registered manager undertook a range of checks and audits on care documents and spot checks were undertaken to ensure staff continued to deliver appropriate and good quality care.

Rating at last inspection: At the last inspection the service was rated as good.

Why we inspected: This was a planned inspection based on previous rating. The service was rated good at the last inspection but is now rated as requires improvement.

Improvement action we have told the provider to take: Please see the ‘action we have told the provider to take’ section towards the end of the report.

Follow up: We will request an action plan from the provider detailing how they will address the breaches. Going forward we will continue to monitor this service and plan to inspect in line with schedule for those services rated as Requires Improvement.

Inspection areas

Safe

Requires improvement

Updated 21 March 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 21 March 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Good

Updated 21 March 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 21 March 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 21 March 2019

The service was not always well-led

Details are in our Well-Led findings below.