Archived: All Generations Home Care

Updated 30 September 2015

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 was 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 visit took place on 13 August 2015 and was announced. We inspected this service with two inspectors. The provider was given two days’ notice of our inspection. The notice period ensured we were able to meet with the manager during our inspection.

We asked the provider to send to us a Provider’s Information Return (PIR). The document allows the provider to give us key information about the service, what it does well and what improvements they plan to make. We were able to review the information as part of our evidence when conducting our inspection.

We spoke with one person who used the service and five relatives of people who used the service.

We visited the service and looked at the records of four people and three staff records. We also reviewed records which demonstrated the provider monitored the quality of service people received.

We spoke with the manager, and three members of care staff.

We reviewed information we held about the service, for example, notifications the provider sent to inform us of events which affected the service.

Updated 30 September 2015

This inspection took place on 13 August July 2015. The inspection was announced. We gave the provider two days’ notice of our inspection. This was to make sure we could meet with the manager of the service on the day of our inspection.

All Generations Home Care is a small service registered to provide personal care and support to people living in their own homes. The registered manager of the service is also the provider of the service. There were ten people using the service at the time of our inspection.

A requirement of the provider’s registration is that they have a registered 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. At the time of our inspection there was a registered manager at the service. We refer to the registered manager as the manager in the body of this report.

People and their relatives told us they felt safe with staff, and staff treated them well. The manager and staff understood how to protect people they supported from abuse, and knew what procedures to follow to report any concerns. There were enough staff at All Generations Home Care to support people safely. The provider had recruitment procedures in place that made sure staff were of a suitable character to care for people in their own homes.

Medicines were administered safely, and people received their prescribed medicines as intended.

People were supported to attend health care appointments with health care professionals when they needed to, and received healthcare that supported them to maintain their wellbeing.

People and their relatives thought staff were kind and responsive to people’s needs, and people’s privacy and dignity was respected.

Management and staff understood the principles of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS), and supported people in line with these principles. People did not always have a current mental capacity assessment in place, where they lacked the capacity to make all of their own decisions. However, staff knew people well and could explain when people could make their own decisions, and when people needed support to do so.

Activities, interests and hobbies were arranged according to people’s individual preferences, and according to their individual care packages. All of the people and their relatives, had arranged their own individual care packages, and had agreed with All Generations Home Care how they wanted to be supported. People were able to make everyday decisions themselves, which helped them to maintain their independence.

Staff, people and their relatives felt the manager was approachable. Positive communication was encouraged and identified concerns were acted upon by the manager. Staff were supported by the manager through regular meetings. There was an out of hours’ on call system in operation which ensured management support and advice was always available for staff. Staff felt their training and induction supported them to meet the needs of people they cared for.

People told us they knew how to make a complaint if they needed to. The provider monitored complaints, investigated concerns, and made changes to the service in response to complaints.

There were systems in place to monitor the quality of the service. This was through feedback from people who used the service, their relative’s, staff and a programme of audits. The provider played an active role in quality assurance to ensure areas of poor practice could be identified so the service could improve.