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Guardian Homecare (Ormskirk) Good


Inspection carried out on 6 December 2019

During a routine inspection

About the service

Guardian Home Care provides personal care to people living in their own houses and flats in the community. Not everyone who used the service received personal care. Care Quality Commission (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 the service was providing personal care to 144 people.

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

People told us they received safe care and treatment. They spoke positively about the care staff and the support the service provided. People were supported by staff who had been safely recruited. The provider’s arrangements for organising staff rotas and monitoring care visits were not effective to promote smooth delivery of care visits. We made a recommendation about this. People were supported with the safe use of medicines and staff knew how to report concerns about abuse.

People were supported by staff who had received a range of training and supervision to enable them to carry out their role safely. Staff supported people to have maximum choice and control of their lives, the policies and systems in the service supported this practice. People were asked to consent to their care and their ability to make their own decisions was assessed. People received support to maintain good nutrition and hydration and their healthcare needs were understood and met.

People told us they were treated with dignity and staff were respectful of their homes. Staff knew how to maintain people’s privacy and confidentiality. They were respectful of people’s protected characteristics such as gender, cultural and religious needs.

Care plans contained personalised information on people’s health and communication needs plus their likes and dislikes. People and family members knew how to make a complaint and they were confident about complaining should they need to. They were confident that their complaint would be listened to and acted upon quickly. However, we found there had been a long delay in sending an outcome letter of investigations carried out after a compliant. We made a recommendation about this.

The registered provider had governance systems to support the delivery of safe care. However, their systems needed to ensure the effective monitoring and planning of care visits. The registered manager showed they were committed to improving the service and displayed knowledge and understanding around the importance of working closely with other agencies and healthcare professionals where needed.

For more details, please see the full report which is on the CQC website at

Rating at last inspection:

This service was registered with us on 31/12/2018 and this is the first inspection.

Why we inspected

This was a planned inspection based on our inspection schedule.

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.