We carried out a review of the data available to us about Goshen Social Care Ltd 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 Goshen Social Care Ltd, you can give feedback on this service.
Goshen Social Care Ltd is a domiciliary care agency providing personal care to 10 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
There were enough staff to meet people’s needs, and people’s relatives said they felt staff were safe and on time.
People received their medicines as prescribed from staff who had been trained and their competency assessed.
Staff received training and support to meet people’s needs. Staff understood how to protect vulnerable adults.
People’s relatives said staff were kind and caring, and people’s personal privacy, dignity and independence were respected by staff.
Care plans contained good person centred detail and were reviewed regularly to ensure they continued to reflect people’s needs.
There was a complaints policy and procedure in place, and relatives said they knew how to make a complaint.
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.
There were a number of quality assurance processes in place, however we found an example where audits were not always effective.
We have made a recommendation around quality assurance.
Staff and relatives said they would recommend the service, and that the registered manager was open and approachable.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 30 August 2018) and there was one 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 that some improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
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.
This service is a domiciliary care agency. It provides personal care to people living in their own homes in the community. The service is a small family business and at the time of this inspection the service was supporting four people. Not everyone using the service received a regulated activity; Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided.
There was a registered manager in post at the time of our inspection. The registered manager was not present during the inspection, as they were on holiday, so we liaised with the manager. 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.
Individual risks had mostly been assessed, however, some were unnecessary and not all risks had been identified and steps taken to ensure these were addressed. Despite this people who used the service and relatives told us they felt safe with the staff and the care they were provided with.
Staff completed a range of training, however, there was no record of when individual members of staff required updated training. Supervisions and appraisals were not carried out in line with the provider’s policy information. New employees received an induction which included, an induction book, training and shadowing a more experienced staff member, although, the manager was unable to evidence the induction books had been completed.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People had mental capacity assessments and best interest decisions in their care plans, however, it was not clearly evidenced what decisions people were able to make.
Care plans we looked at were person centred in some areas but some language used was not always appropriate and some areas required a little more detail to provide guidance for staff. People and relatives were happy with the content of the care plans. Staff made a record of the care they provided and these records were returned to the office monthly. Staff involved people and/or relatives in the care planning process, but this was not always recorded.
There was a complaints procedure in place which enabled people to raise any concerns or complaints about the care or support they received. However, we noted a concern had been raised but had not been documented or action taken recorded.
People, relatives and staff we spoke with were very positive about the manager. They said they had a hands-on approach and was responsive. Feedback regarding the service was gained at regular intervals from people and relatives. Some quality assurance processes were in place such as staff ‘spot checks’, however, there were no audit procedure in place and shortfalls within this report had not been identified. Some provider documentation contained out of date information.
Staffing levels were appropriate to meet people’s care and support needs and recruitment processes were in place and followed, with appropriate checks undertaken prior to staff working at the service to reduce the risk of employing staff who may not be suitable to work with vulnerable people.
The manager told us at the time of the inspection the service did not support people with prescribed medicines or creams or anyone who was approaching the end of their life. People received assistance with healthcare appointments when required and were supported to eat and drink where this was an identified need.
People and relatives told us staff were reliable, kind, caring and they were very happy with the service they received. They said staff treated them with respect and took steps to maintain their privacy and dignity.
We found one breach of the Health and Social Care Act (HSCA) 2008 (Regulated Activities) Regulations 2014. You can see what action we have told the provider to take at the back of the full version of the report.