We carried out a review of the data available to us about Home Instead Senior Care Leek and Moorlands 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 Home Instead Senior Care Leek and Moorlands, you can give feedback on this service.
Home Instead Senior Care – Leek and Moorlands is a domiciliary care service providing personal care, home help and companionship to people with a variety of needs. At the time of the inspection, the service was supporting 33 people.
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
People told us they received a service that was safe. Staff understood how to keep people safe and who to report any concerns to. Where something went wrong, the provider used this as a learning opportunity to make improvements and reduce the risk of similar incidents happening again. We have made a recommendation about risk management because some important information was not always available to guide staff.
People received effective support from staff who received a thorough induction and training to prepare them for their roles. However, people who used the service and staff would benefit from training around people’s specific needs. The service worked with other agencies and supported people to maintain good health and access healthcare services. We have made a recommendation for the service to improve consistency with how they apply the principles of the Mental Capacity Act 2005 (MCA). People were generally 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 were very positive about the caring approach of staff. Staff recognised, respected and valued people as individuals. People received support from a consistent staff team which enabled them to get to know each other well and build good caring relationships.
The service put people at the heart of the care they received. Staff used detailed assessments to identify people’s needs and preferences and worked to ensure people were happy with the care they received. If people were not happy, they were confident they could speak with staff to make improvements. The service made sure people were supported to communicate and staff supported people to avoid social isolation.
The service was led by a registered manager and senior staff who everyone described as approachable, well-organised and caring. The culture at the service was open and inclusive. Senior staff understood their responsibilities and monitored the quality of the service using a range of systems. Where areas for improvement were identified, the registered manager took action to make improvements. However, the systems had not identified issues around the level of information in some people’s care plans or the inconsistencies around how the service applied the principles of the MCA. We have made a recommendation about this.
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 31 January 2017).
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.
Home Instead Senior Care are registered to provide personal care. People are supported with their personal care needs to enable them to live in their own homes and promote their independence. At the time of the inspection the service supported 30 people in their own homes.
There were two registered managers at the service. 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. We were told that one of the registered managers would be de-registering with us as they no longer undertook the role of registered manager at the service.
Staff and the registered manager understood their responsibilities to keep people safe where abuse may be suspected.
People's risks were assessed. Staff knew people's needs and carried out support in a safe way whilst they ensured that people's independence was promoted.
There was a system in place to monitor incidents and accidents and actions had been taken to lower the risk of further occurrences.
There were enough suitably qualified staff available to meet people's assessed needs. The provider had an effective system in place to monitor the staffing levels against the needs of people who used the service.
We found that people's medicines were managed and monitored in a way that kept people safe from harm.
Staff received training which was updated regularly to ensure they had the knowledge and skills required to meet people's needs effectively.
People consented to their care and where they were unable to consent mental capacity assessments had been carried out in line with the Mental Capacity Act 2005 (MCA). Staff showed they understood and applied the requirements of the MCA. This ensured that when people had the ability to make decisions for themselves, their decisions were respected. It also ensured decisions were made in people's best interests if they were unable to do this for themselves.
People were supported to eat and drink sufficient amounts and staff understood people's nutritional needs and preferences when they supported people with their diet.
People were supported to access health professionals and referrals for advice were sought by the registered manager, which ensured people's health and wellbeing was maintained.
People received care that was caring and compassionate and they were enabled to make choices about their care. People's dignity was maintained when they received support from staff.
People were involved in the planning and review of their care, which was planned and carried out in a way that met their preferences.
People told us they knew how to complain and the provider had an effective system in place to investigate and respond to complaints.
People and staff were able to approach the registered manager and director. Staff felt supported to carry out their role.
Feedback was sought from people and staff, which was acted on by the registered manager to make improvements to the quality of care people received.
Effective systems were in place to assess, monitor and manage the service. The registered manager was committed to making improvements to the quality of the service.