EdenCare Support Services Limited

Updated 6 February 2024

The inspection

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 Health and Social Care Act 2008.

to identify good practice we can share with other services.

Inspection team

This inspection was carried out by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Edencare Support Services Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours' notice of the inspection. This was because it is a small service and we needed to be sure the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 23 January 2024 and ended on 25 January 2024. We visited the office on 23 and 25 January 2024.

What we did before the inspection

We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager, deputy manager, and 5 staff. We spoke with 2 people receiving support and 9 relatives.

We reviewed 7 people's support records, including 4 records of medicines administration. We looked at 5 staff files in relation to recruitment, and a variety of records relating to the management of the service, including policies and procedures.

We asked the registered manager to send us documents before and after the on-site inspection. These were provided in a timely manner and this evidence was included as part of our inspection.

Updated 6 February 2024

About the service

Edencare Support Services Limited is a domiciliary care service providing personal care to people in their own houses and flats in the community. At the time of our inspection there were 62 people using the service. 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. At the time of inspection, the service was providing personal care to 44 people.

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

The provider managed medicines safely; however, some processes were not always robust in reducing risk. We made recommendations about the safe management of medicines.

The registered manager ensured systems were in place to monitor the running of the service. However, some audits were not carried out consistently, reducing the providers overview of risk within the service. We made recommendations about consistent approaches to auditing care records.

Staff had a good understanding of safeguarding processes. Risk assessments were robust and relevant. Staffing levels were safe and reviewed regularly by managers. Infection prevention and control (IPC) systems were in place to reduce people's risk of infection.

People's needs were assessed and reviewed regularly. People's health and nutrition needs were supported, and staff were aware of their responsibility to promote people's rights. People had access to healthcare professionals.

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.

People and family members knew how to make a complaint. They were confident their complaint would be listened to and acted upon quickly. Lessons were learned when concerns were raised, and these outcomes were communicated to staff. Staff approaches promoted dignity and respect.

The provider was open and honest in their approach to supporting people. They were in regular contact with people receiving support to ensure they obtained feedback on the quality of support provided. Staff knew how to support people to ensure end of life needs were met. Staff worked in partnership with other agencies to deliver effective support.

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 30 August 2017)

Why we inspected

This inspection was a planned inspection based on the date the service was last inspected.

Recommendations

We have made recommendations about the management of medicines and governance of service documents.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.