We carried out a review of the data available to us about Eliz's Domiciliary Care Agency LTD on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Eliz's Domiciliary Care Agency LTD, you can give feedback on this service.
Eliz's Domiciliary Care Agency LTD provides personal care to people living in their own homes. At the time of our visit, the service provided a waking night support to two people who lived in the same house.
People’s experience of using this service and what we found
People were supported by the same staff who knew them well and met their needs. Staff recruitment processes were robust. Staff were experienced, trained and supported by the registered manager to carry out their duties providing effective personal care.
The provider’s policies and procedures of adult safeguarding ensured people were protected from abuse. The service had infection control protocols in place to ensure the risk of infections was managed. Staff managed the impact of Covid-19 well.
Risk assessments were completed, and care plans were personalised. People were encouraged and supported to make their own decisions about their care. They were able to choose what to eat, when to go to bed and how to take their medicines. They were able to choose to receive personal care from different agencies.
There was a good management system in place. Audits of various aspect of the service were undertaken. This ensured records were up to date and any shortfalls were identified and addressed so people were safe, and their needs met.
People had opportunity to influence the quality of the service by sharing their views with the provider. The registered manager was clear about their responsibility under duty of candour, and learning from incidents, accidents and new ideas of providing effective care. Staff worked with health and social care authorities to ensure people received care and support which met their needs.
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 requires improvement (published 30 July 2019).
We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to Safe, Effective and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Eliz's Domiciliary Care Agency LTD on our website at www.cqc.org.uk.
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.
Eliz's Domiciliary Care Agency LTD is based in the London Borough of Havering. The service provides personal care to adults in their own homes. 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 the inspection two people, who lived in the same house, used the service.
People’s experience of using this service and what we found
People were supported by staff who were caring. There were enough staff who had knowledge, skills and commitment to support people.
The recruitment processes were not always robust which meant that staff were not always checked before they were employed to ensure they were safe to work with people. Staff did not receive supervision, which meant they were not supported appropriately.
Care plans and risk assessments were completed and staff understood how to provide care that met people's needs. People received person-centred care and support based on their individual needs and preferences.
People could be confident that their concerns and complaints were listened to and acted on by the registered manager.
The service had a policy on equality and diversity and staff were clear about treating people with respect, dignity and without any kind of discrimination.
People had their own arrangements for their medicines and meals. However, staff had training and knowledge to provide support if people needed it in these areas.
Staff liaised with other health care professionals and agencies to ensure people's healthcare needs were met.
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
This service was registered with us on 24 July 2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date Eliz's Domiciliary Care Agency LTD was registered with the CQC.
Enforcement
At this inspection we found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we have told the registered provider to take at the back of the full version of the report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.