Archived: E&S Care At Home Ltd

Updated 3 September 2019

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.

The inspection team

This 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.

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.

Inspection activity started on 10 July 2019 when we visited the office location and ended on 12 July when we carried out telephone calls to people, relatives and staff.

What we did before the inspection

We reviewed information we held about the service and used the information the provider sent us in the provider information return. 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.

During the inspection

During the inspection we spoke with one person who used the service, three relatives and two care staff. We also met with the registered manager who was also the provider, and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed care records for three people, including their care plans to ensure the care provided reflected their current needs. We also looked at records in relation to the management of the service including three staff recruitment and training records, policies and procedures and quality assurance systems and processes.

Updated 3 September 2019

About the service

E&S Care at Home Ltd is a domiciliary care agency. It provides personal care people living in their own homes and flats in the community. It provides a service to older and younger people, people with physical disabilities and people who are living with dementia. Not everyone who used the service received 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. At the time of our inspection there were seven people using the service.

People’s experience of using this service and what we found

People were kept safe by staff who understood the actions they needed to take to protect people from the risk of harm. There were sufficient numbers of consistent staff to support people and staff were recruited safely. There were appropriate infection control practices in place and people were supported to take their medicines safely.

Staff undertook training that supported them to have the knowledge and skills to do their job well and effectively meet people’s needs. People were supported to have sufficient amounts to eat and drink and protected against the risk of poor nutrition. Staff worked in partnership with relatives and other agencies to support people's good health and well-being. 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.

Staff knew each person well. They knew about people’s likes and dislikes and their preferences about how they wanted to be looked after. People made choices in all aspects of their lives. Staff respected people’s choices and preferences and people’s views were listened to and acted upon. Staff respected people’s privacy and dignity and encouraged people to be as independent as possible.

People and those important to them were at the centre of the assessment and care planning process. Staff recognised and acted to reduce the risk of social isolation for people and people were confident to raise concerns and complaints if they needed to.

The registered manager was committed to providing good care to support people to achieve the best possible outcomes. They monitored the quality of care and support people experienced and acted on their feedback.

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 9 July 2018 and this is the first inspection.

Why we inspected

This was a planned inspection.

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.