Background to this inspection
Updated
27 April 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection took place on the 31 March 2016 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care to people in their own homes and we needed to be sure that someone would be available to meet with us. The inspection team consisted of one inspector.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asked the provider to give some key information about the service, what the services does well and improvements they plan to make. We looked at notifications sent in to us by the provider, which gave us information about how incidents and accidents were managed. We also contacted health and local authorities about their views of the service.
During our inspection we spoke with three people that used the service, one relative, one care staff member, the provider/registered manager and one social care professional. We looked at four people’s care records and recruitment and training records of two staff. This was to check that recruitment, training and support for staff was sufficient for them to provide good quality care. We also looked at other records relating to the monitoring of the quality of the service including complaints and audits completed by the provider.
Updated
27 April 2016
This inspection took place on 31 March 2016 and was announced. We gave the provider 48 hours’ notice that we would be visiting the service. This was because the service provides domiciliary care to people living in their own homes and we wanted to make sure staff would be available. At our last inspection in July 2014, the provider was meeting the requirements of the regulations inspected.
Here 2 Help Home Care Limited is a small domiciliary care agency registered to provide domestic support and personal care to people living in their own homes. The service currently operates with the provider delivering the majority of the care with additional support available from one care staff member. There are four people who presently use the service.
There was a registered manager in post at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission 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.
The provider did not have effective quality assurance and audit systems in place to monitor the care and support people received. Although there had been no expressions of dis-satisfaction or any concerns about the service; this required improvement to ensure the quality of the service was sufficiently monitored to ensure that it continued to meet people’s needs and wishes and ensured that it continued to develop.
People were left feeling safe and secure in their homes. Relatives believed their family members were kept safe. Staff had received training and understood the different types of abuse and knew what action they would take if they thought a person was at risk of harm. The provider had processes and systems in place that kept people safe and protected them from the risk of harm.
People were supported by staff that had been recruited appropriately. People were supported with their medication by staff that had received appropriate training.
People felt staff had the skills and knowledge to care and support them in their homes. Staff were trained and supported so that they had the knowledge and skills to enable them to care for people, in a way that met people’s individual needs and preferences. Where appropriate, people were supported by staff to access health and social care professionals.
People were supported to make choices and involved in the care and support they received. The provider was taking the appropriate action to protect people’s rights to ensure their liberty was not being deprived.
Staff was caring and treated people with dignity and respect. People’s choices and independence was respected and promoted and staff responded to people’s support needs. People were supported with their healthcare needs because the provider involved family members if concerns were identified.
People felt they could speak with the provider about their worries or concerns and all felt they would be listened to and have their concerns addressed.