10 April 2020
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.
The inspection was completed by one inspector.
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 two managers registered with CQC. This means that they and the provider 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 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered managers would be in the office to support the inspection. Inspection activity started on 2 March 2020 and ended on 3 March 2020. We visited the office location on 2 and 3 March 2020.
What we did before the inspection
We looked at information sent to us since the last inspection such as notifications about accidents and safeguarding alerts. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We sought feedback from the local authority safeguarding team 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 all of this information to plan our inspection.
During the inspection
We spoke with two people who used the service and one health and social care professional. We spoke with five care workers (one assistant practitioner, two practitioners and two senior practitioners). We also spoke with one registered manager, the deputy chief executive and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We looked at three people’s care files and two people’s medicine records. We looked at a selection of documentation for the management and running of the service and four staff files.
After the inspection
We were sent and looked at further information regarding end of life care, training, medication protocols and partnership working.
10 April 2020
About the service
Humbercare Ltd Hull Office provides help and support to adults with a variety of complex needs who may need an intensive care and support package to maintain their independence whilst living within the local community. Not everyone who used the service received personal care. The 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.
People’s experience of using this service and what we found
People continued to be kept safe from avoidable harm and abuse and staff appropriately managed risks. People’s medicines were stored and administered safely. There was a small consistent team of staff who knew people well.
Staff had the required skills and knowledge to meet people’s needs. Staff could ask for support when needed, had regular supervision and an annual appraisal. Support was tailored to people’s needs and people had access to appropriate healthcare services. Staff were regularly updated about people’s needs and helped people with their dietary needs.
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 were kind, caring, respectful and supported people in a non-judgemental manner. People were treated as individuals and staff had a positive regard for equality and diversity. People’s independence was promoted, and their privacy and dignity were maintained.
People were encouraged to access local groups and facilities to maintain their relationships and reduce the risk of social isolation. Staff worked with people to set and achieve their goals. Complaints processes were in place and end of life care plans were being developed.
The was a positive and supportive culture within the service. The management team encouraged honesty and openness which was embedded throughout the service. Systems were effective in ensuring the quality of the service was maintained. All opportunities to develop the service were used and the views of people who used the service, staff and stakeholders were considered. The management team worked in partnership with local organisations to help develop and improve other local organisation services.
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 good (published 13 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.