• Services in your home
  • Homecare service

Healthvision - Hounslow

Overall: Good read more about inspection ratings

Q West, Great West Road, Brentford, TW8 0GP

Provided and run by:
Health Vision UK Limited

Latest inspection summary

On this page

Background to this inspection

Updated 2 August 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was conducted by two inspectors. After the inspection, two Experts by Experience supported the inspection by making phone calls to people who used the service and their relatives to ask for their feedback. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. However, the service manager was in the process of becoming the registered manager.

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 7 June 2023 and ended on 20 June 2023. We visited the location’s office on 9 June 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection, including notifications of significant events. We sought feedback from the local authority and professionals who work with the service. We also used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We took this into account in making our judgements in this report.

During the inspection

We spoke with the nominated individual and care supervisor. The nominated individual is

responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records. This included 8 people's care records, multiple medicines records and 4 staff records. A variety of records relating to the management of the service, including audits, were also reviewed. We spoke with 6 people who used the service and 15 relatives. We emailed 47 care workers about their experience of the service and reviewed the written feedback received from 8 care workers.

Overall inspection

Good

Updated 2 August 2023

About the service

Healthvison Hounslow is a domiciliary care agency. It provides personal care to people living in

their own houses and flats in the community. At the time of our inspection 89 people were using the service. 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.

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

The provider had procedures for managing incidents, accidents, safeguarding alerts and complaints, and quality monitoring processes in place, to help monitor and improve service delivery. However, we identified a care plan that had not ben updated with the most recent information.

We have made a recommendation that the provider review best practice regarding quality assurance processes to help ensure records are always up to date.

People and their relatives felt people received safe care. The provider had risk assessments and risk mitigation plans in place to help reduce risks and keep people safe. The provider followed safe recruitment practices to help ensure suitable people were employed. Staff received appropriate training to meet people’s care needs.

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.

Care plans were person centred and included information about individual care needs and people’s preferences. People were mostly supported by the same staff who were kind and caring. People using the service, their relatives and staff told us they knew how to raise concerns with the provider.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 22 Sept 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.