White Rose Homecare Limited

Updated 11 December 2021

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.

Inspection team

This inspection was carried out by two inspectors.

Service and service type

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

The service had a manager registered with the Care Quality Commission. The registered manager was also the provider. They are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because the service is small, and people are often out, and we wanted to be sure the registered manager would be available.

Inspection activity started on 5 November 2021 and ended on 23 November 2021. We visited the office location on 9 November 2021.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, professionals who work with the service and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We 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. We used all of this information to plan our inspection.

During the inspection

We spoke with a person who used the service and a relative about their experience of the care provided. We spoke with 7 members of staff including the provider who is also the registered manager, administration staff and 3 care staff.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data, quality assurance records and other records relating to the running of the service.

Updated 11 December 2021

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

Medication Administration Record (MAR) charts needed to include clear detail when people managed their own medicines but required occasional support from staff. Staff knew what to do if they thought someone was at risk. Risks were appropriately assessed and reviewed but some required more detail. Safe recruitment processes were in place to ensure staff were suitable to work with vulnerable people. Systems were in place to make sure there were enough staff available to meet people’s needs. Infection prevention and control (IPC) systems were in place to reduce people’s risk of infection, including COVID-19.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and promoted independence. Documentation needed to better evidence people’s involvement in care planning and consent to support.

Staff received induction training and followed a programme of continuous learning. Staff said they felt well supported. People’s needs were assessed, and care and support were regularly reviewed.

Feedback we received from people who used the service and their relatives was complimentary about all staff. Staff involved people in decisions about their care and consulted people regarding what they wanted.

Systems were in place to make sure the service complied with the Accessible Information Standards.

People’s care records documented the level of care and support required. They were up to date and were regularly reviewed. All concerns were responded to appropriately.

People, relatives and staff spoke highly of the management at the service. Systems were in place to monitor the quality and safety of the service. People were provided with the opportunity to feedback on the service they received, and any suggestions for improvement were welcomed. The service worked well in partnership with others to ensure the best outcomes for people.

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

Rating at last inspection: This was the first rated inspection of this service since registration in December 2018.

Why we inspected: This was a planned inspection based on the date of registration.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

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