Archived: 2M Health And Homecare Services Ltd Ross Walk Leicester

2M Health & Home Care Services is a domiciliary care service. The service provides personal care to people living in their own homes. At the time of the inspection there were seven older adults using the service.

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

People’s safety was promoted by staff who followed guidance on how to reduce potential risk. This included the use of equipment to support people moving around their home. People were supported by sufficient numbers of staff who had undergone a robust recruitment process. People were supported with their medicines. Staff training in key safety areas promoted people’s safety, which included staff knowledge and understanding of reporting potential safeguarding concerns and following infection control procedures.

People’s needs and expectations of care were assessed and used to develop a package of care, to support the person at home. People’s needs were met by staff who had the necessary skills and knowledge. Staff were supported through ongoing training and supervision to enable them to provide good quality care. Staff promoted people’s health by supporting them to take their medicine and by liaising with health care professionals when required.

People were supported to have maximum choice and control of their life and staff supported them in the least restrict way possible and in their best interests; the policies and systems in the service supported this practice.

People and their family members spoke favourably about staff and the positive and supportive relationships that had developed. They spoke of the caring and compassionate nature of staff and how staff considered their privacy, dignity and independence.

People and family members were involved in the development of care plans, which enabled staff to provide the care and support each person had agreed was appropriate to them. People’s views about the service were regularly sought to develop the service. Those we spoke with were confident to raise concerns when they arose.

The management team were aware of their role and responsibilities in meeting their legal obligations. Systems to monitor the quality of the service were in place. The provider worked with key stakeholders to facilitate good quality care for people, and to keep up to date with good practice.

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 25 November 2016).

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.

2M Health and Homecare Services Ltd is registered with the Care Quality Commission to provide personal care to people who wish to remain in their own homes. The agency provides services throughout Leicester and Leicestershire and provides for people with complex healthcare and people who require end of life care. At the time of our inspection there were 21 people using the service who were supported by 15 staff.

There was a registered manager in post. 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.

This was our first inspection of the service since they registered with us.

People were kept safe from the risk of harm. Staff knew how to recognise the signs of abuse and who to raise concerns with. People needs were assessed which identified actions staff needed to take to protect people from risks associated with their specific conditions. Some of these needed to be improved with additional information to ensure staff supported people safely. People were supported to take their medicines as prescribed.

People were supported by the number of staff identified as necessary in their care plans to keep them safe. There were robust recruitment processes in place to ensure new staff were suitable to support people who used the service.

Staff had the skills and knowledge to ensure people were supported in line with their care needs and preferences. Staff undertook an induction and a range of training relevant to the needs of people using the service. Staff received regular support and supervision which enabled them to provide people with effective care.

Staff understood the relevant requirements of the Mental Capacity Act (2005) and how it applied to people in their care. Staff sought consent from people before providing care and understood people's right to decline their care and support.

Where necessary, people were supported to eat and drink and had access to other health professionals in order to maintain their health.

People and relatives had developed positive relationships with the staff that supported them. They spoke about the support staff provided to people and their families, particularly through end of life care. People were involved in the planning and development of their care. Staff promoted and upheld people's privacy and dignity and understood their role in enabling people to maintain their independence.

People's care plans were personalised and reflected people's needs, preferences and wishes. People were supported to share their views about their care but reviews were not always consistently recorded or carried out in a timely manner. The registered manager assured us that they would ensure reviews were undertaken promptly and records improved to reflect people's input into the review of their care.

People told us staff always stayed the full length of the visit or longer in response to changes in people's health or well-being. Some people had concerns about the timekeeping of staff which the registered manager told us they would address.

The provider had a complaints policy which provided people and their relatives with clear information about how to raise any concerns and how they would be managed. People confirmed they felt comfortable to raise concerns with the registered manager and were confident these would be addressed.

People, their relatives and staff were confident in how the service was led and the abilities of the registered manager. The registered manager carried out regular checks on the quality and safety of the service and had established processes for monitoring and developing the quality of the care people received.