Archived: Edesy Homecare

Edesy Homecare is a domiciliary care agency providing personal care in people's own homes. At the time of the inspection the service was providing care and support to 33 people. 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. 18 people were being supported with personal care at the time of the inspection.

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

Since our last inspection, we found improvements had been made to the management of people’s risks and medicines. Staff now had the information and skills they needed to support people safely. However more time was needed to ensure these improvements were fully embedded and in place for all people.

Staff were aware of their safeguarding responsibilities and to report any concerns or accidents. However, the registered manager had not always notified CQC of any significant events in line with their registration. This meant CQC were unable to monitor incidents which had affected people who use the service and any follow up actions taken by the provider.

The registered manager had made improvements to the systems used to check and monitor the quality of the service. Quality reviews and surveys were carried out to gather information about people's views. Spot checks of staff practices were also completed to ensure the quality of the service was maintained. Relatives and staff reported that they felt the service was well managed and the managers were approachable.

People reported that staff followed infection control guidance and had access and used personal protective equipment when supporting people with their personal hygiene.

The registered manager was aware of safe recruitment practices. Suitable numbers of staff were employed to meet people’s needs. A new staff rostering system was being implemented to enhance the registered manager ability to monitor the arrival and departure times of staff.

People and relatives told us they felt the staff were kind and caring. They felt comfortable in raising concerns to staff and the provider. The provider took actions on any feedback and learnt from incidents.

Rating at last inspection

The last rating for this service was requires improvement (published 28 August 2019) and there was a breach of regulation.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations from the previous inspection; however a further breach of regulation was found in relation to notifying CQC of significant incidents.

Why we inspected

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions ‘Is this service safe 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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Edesy Homecare on our website at www.cqc.org.uk.

Enforcement

We have identified a breach of regulation in relation to notifying CQC of any significant events. Please see the action we have told the provider to take at the end of this 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.

Edesy Homecare is a domiciliary care service that provides personal care and support to people living in their own homes. The service supported 35 people at the time of the inspection.

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

People may be at potential risk as staff did not always have the information and guidance they needed to support people to manage their care and associated risks. Comprehensive care plans detailing people’s preferences, medicines support and consent to care were not always in place.

Effective systems were not fully in place to monitor the quality of the service being delivered and staff development. We have made a recommendation about the governance systems used to monitor the service.

People and their relatives were positive about the caring nature and approach of staff. People told us they were supported by staff who were kind and compassionate. They told us they felt safe when staff visited and were confident that any concerns would be dealt with promptly. Appropriate numbers of staff who arrived on time supported people and stayed for the designated amount of time to deliver the care and support people required. 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.

Staff felt trained and supported to carry out their role. They could seek advice from the registered manager and management team. The registered manager and staff were passionate about the care they delivered and were driven to improve the service. They communicated and engaged with others such as family members to improve the lives for people.

The registered manager acted on concerns to ensure people received care which was safe and responsive to their needs. Staff were trained in safeguarding people and protecting them from harm. Any concerns or accidents were reported and acted on.

The registered manager monitored the delivery of care through staff observations and feedback from people. They were reviewing and implementing the systems and policies they used to monitor the quality and effectiveness of the service such as staff recruitment and performance.

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

Enforcement

We have identified breaches in relation to management of people’s risk at this inspection. Please see the action we have told the provider to take at the end of this report.

Rating at last inspection This service was registered with us on 4 July 2019 and this is the first inspection.

Why we inspected

This was a planned inspection after the service registered with CQC.

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 and we will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the 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.