About the service: Radfield Home Care Richmond, Kingston and Hounslow is a domiciliary care agency and registered for ‘personal care’. This service provides personal care to people living in their own houses and flats. At the time of this inspection six people were using the service.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:
Risks to people's health and safety were not sufficiently assessed but the provider took immediate action to address this to ensure they supported people safely. Care records lacked information related to people’s end of life wishes. The management team told us that from now on they would include this information as necessary.
Staff were aware of the provider’s policies and procedures to support people safely if they noticed them being at risk of harm or when incidents and accidents took place. There were no allegations of abuse or incidents and accidents having taken place since the service’s registration with the CQC. There were robust recruitment processes in place to ensure that staff had the right values required for the job. Staff were trained and had clear guidance for infection control
The staff team had a good understanding of the Mental Capacity Act 2005 (MCA) principles which they applied in practice to support people in the decision-making process. 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.
Systems were in place to optimise staff’s knowledge and skills in all areas required for their role. Staff took initiatives to prevent medicine errors taking place and to support people safely Healthcare professionals were involved and guided staff where people required additional support to meet their nutritional needs. Staff observed and addressed people’s changing health needs quickly as required. Information was available on the support people required to enhance their well-being. People’s care records were person-centred and individualised.
The feedback received about the service was exceptionally positive. People and their relatives praised staff for their dedication and caring nature. Staff were carefully selected and matched with people to ensure they shared the same interests and skills. People’s choices were continuously reviewed to ensure they had a say as to how they wanted to be supported. Continuity of care was an important aspect of the service. The management team ensured they introduced new staff to people and they provided the same staff to support people safely. People’s privacy was enhanced and they had help to continue living in their homes independently for as long as possible. Staff took initiatives to engage people in conversations which encouraged their social interaction.
People felt confident in raising their concerns should they have any. There were shared values, beliefs and rules within the organisation aiming to provide high quality services for people. The management team were dedicated and promoted kind behaviour in its employees that lead to high concern for the people they supported. The staff team took a proactive approach in educating the members of the community and supporting charity organisations which showed their focus on people’s well-being.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: This service was registered with us on 23 July 2018 and this is the first inspection.
Why we inspected: This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
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.