We carried out a review of the data available to us about Grangefield Homecare 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 Grangefield Homecare, you can give feedback on this service.
Grangefield Homecare is a domiciliary care service providing personal care to people living in their own homes. At the time of the inspection there were eight people using the service.
Not everyone who used the service received personal care. In this service, the Care Quality Commission can only inspect the service received by people who get support with personal care. This includes help with tasks related to personal hygiene and eating. Where people receive such support, we also consider any wider social care provided.
People’s experience of using this service and what we found
People were involved in their care planning. People’s risks were assessed at regular intervals or as their needs changed. Care plans informed staff how to provide care that mitigated these known risks. People’s medicines were managed in a safe way.
People received care from staff they knew. Staff had a good understanding of people's needs, choices and preferences. People were encouraged to make decisions about how their care was provided and their privacy and dignity were protected and promoted. Staff gained people's consent before providing personal care.
People were supported to express themselves, their views were acknowledged and acted upon. There was a complaints system in place and people were confident that any complaints would be responded to appropriately.
Staff were recruited using safe recruitment practices. Staff received training and support to enable them to meet people’s needs and carry out their roles.
The provider and registered manager continually monitored the quality of the service, identifying issues and making changes to improve the care.
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 information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 21 September 2017).
Why we inspected
This was a planned inspection based on the date we registered the service.
What happens next?
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.
At the last inspection in July 2015, the service was rated Good; at this inspection we found the service remained Good.
There was a registered manager who registered with CQC in February 2016. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The service continued to provide safe care to people living in their own homes. Staff understood their responsibilities for safeguarding people from harm and followed the provider’s policies to provide people’s prescribed medicines safely. There were enough suitably skilled staff to meet people’s needs. Staff had been recruited using safe recruitment practices.
People received care from staff that had received training to meet people’s specific needs and adequate supervision to carry out their roles.
People received care from a regular staff group who knew them well which helped to develop positive relationships.
People received a balanced diet from staff that understood their dietary needs. People were helped to maintain their independence and dignity by the consideration and support from staff.
People were treated with respect and helped to maintain their dignity.
People were supported to access healthcare professionals and staff were prompt in referring people to health services when required.
People’s risks were assessed and staff had person-centred care plans they followed to mitigate these risks. Care plans were updated regularly and people and their relatives were involved in their care planning where possible.
Staff sought people’s consent before providing care and people’s mental capacity was assessed in line with the Mental Capacity Act 2005.
The provider and registered manager continually assessed, monitored and evaluated the quality of the service to identify areas for improvement, and implement change where required.
This unannounced inspection took place on the 23 and 24 July 2015. Grangefield Homecare provides personal care for people in their own homes with a range of personal care needs. People who received personal care lived in or around the village of Earls Barton in Northamptonshire. There were 11 people receiving personal care during this inspection.
There was a registered manager who was no longer in post; however, there was a manager who had been in post for over a year who was in the process of registering. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social care Act 2008 and associated regulations about how the service is run.
People were assured that staff had been appropriately recruited as their employment procedures protected people by employing staff that were suited to the job. There were sufficient numbers of staff that had the skills they needed to provide people with safe care and support.
People were safeguarded from physical harm or psychological distress arising from poor practice or ill treatment as staff understood their responsibilities to respond to allegations of abuse and protect people from harm.
People’s care plans were individualised and reflected the support they needed and that had been agreed with them. They benefited from receiving care from staff that listened to them and acted upon what they said. Staff encouraged and enabled people to retain as much independence as their capabilities allowed. Appropriate risk assessments related to people’s support needs were in place and were acted upon by staff.
People who required help with their medicines were supported to order, store and take their medicines safely.
People’s quality of care was effectively monitored by the audits regularly conducted by the registered manager and the provider. People knew how and who to complain to. They were assured that they would be listened to and that appropriate remedial action would be taken to try to resolve matters to their satisfaction.