We carried out a review of the data available to us about Advinia Homecare 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 Advinia Homecare, you can give feedback on this service.
Advinia Homecare is a domiciliary care agency. It provides personal care to people living in their own homes. These include older people, people living with dementia and people with a physical disability. At the time of the inspection there were 12 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.
People’s experience of using this service and what we found
People told us staff arrived on time. One person told us, “The same lady comes every day, but we don’t have them on a Sunday, never missed a day, they call me and tell me if they are late. They recently made my time earlier, so it works better for me.”
People and their relatives told us they felt safe using the service. People were cared for by staff who knew how to keep them safe and protect them from avoidable harm.
Staff felt confident their training provided them with the knowledge they needed to support people safely.
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.
Staff had been safely recruited and we were satisfied that staffing levels ensured people’s care needs were met in a timely way.
People were supported to take their medicines safely. Incidents and accidents were reported, investigated and actions taken to prevent recurrence.
Care plans contained basic explanations of the control measures for staff to follow to keep people safe. The management team were in the process of reviewing all care plans with input from people using the service and their relatives to ensure staff understood where people required support to reduce the risk of harm.
Although systems were in place to monitor the quality and safety of the service provided, these were still being developed by the nominated individual and the management team. Going forward the provider needs to demonstrate developments are embedded and sustained within the service to drive improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The last rating for this service was Good (published 10 October 2019)
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We received concerns in relation to missed and late calls, and of people not receiving the correct number of staff to attend to their care and support needs. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service remains Good.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and well - led sections of this full report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Advinia Homecare on our website at www.cqc.org.uk.
Advinia Homecare is a domiciliary care agency. It provides personal care to people living in their own homes. These include older people, people living with dementia and people with a physical disability. At the time of the inspection it was providing care to 48 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
Feedback from people and they families about the quality of support was overwhelmingly positive. A relative told us, “I have real confidence in all the carers who come they really know how to put my family member at ease and they all have a happy disposition.”
There were enough staff to meet people’s needs and provide safe care. Established rotas worked well however the management of rotas was not as well organised when people’s usual staff were off. The provider and registered manager were improving their systems to make sure they could coordinate visits more effectively.
There had been an unsettled period after the service had joined the wider Advinia organisation. There had been minimal impact on people due to the commitment of an established and dedicated staff team. There had been a high turnover of registered managers during this period. A former, long-standing senior care staff member had now become the registered manager and feedback about their leadership was excellent. They knew the service well and so were able to address concerns in a practical manner.
There was now increased input from the provider senior management who were supporting the registered manager to develop more formal structures, especially around checking and reporting on the quality of the service.
There were good systems in place to manage risk across the service, such as effective infection control and detailed person-centred guidance to staff to help keep people safe.
People received their medicines safely and the registered manager was improving the recording to ensure it accurately reflected the support staff provided.
Staff had the necessary skills to meet people’s needs. They were well supported by senior care staff to continue developing their knowledge in line with good practice.
Staff worked well with people, families and health and social care agencies to support people’s wellbeing. People had the necessary support to eat and drink in line with their needs and preferences.
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.
Staff treated people with respect and compassion. People and families were involved in decisions about their care.
Support was person-centred and adapted well to people’s changing need. People who required palliative care were supported by the more experienced members of staff in the service who provided highly personalised support.
People and families were able to complain and know that they would be listened to. The registered manager used feedback effectively to improve the quality of care.
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 02/08/2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on our scheduling timetable.