Home Sweet Home Reablement Services

Updated 13 July 2022

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.

Inspection team

The service was inspected by two inspectors.

Service and service type

This service is a domiciliary care service. It provides personal care to people living in their own houses and flats.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post, who is also the provider.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be in the office to support the inspection.

Inspection activity started on 13 June 2022 and ended on 22 June 2022. We visited the location’s office on 15 June 2022 and telephone calls to people, staff and relatives took place on 16,17, 20 and 22 June 2022.

What we did before the inspection

We reviewed the information we had received about the service since the last inspection. 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 one person who used the service and two relatives about their experience of the care provided. We spoke with the registered manager, and two care staff.

We reviewed a range of records, including two people’s care records and related risk assessments. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 13 July 2022

About the service

Home Sweet Home Reablement Services is a domiciliary care service providing care and support to people within their own homes. 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.

At the time of the inspection the service was providing support to 15 older people, only four of those were receiving support with personal care.

The aim of the service was to enable people to remain living in their own homes for as long as possible and to access the local community.

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

Staff had an in-depth knowledge of people's needs which they achieved through extended induction every time they started supporting a new person. The same small group of care staff supported each person. This helped to develop a trusting and friendly relationship between people and staff.

People told us they felt safe in the company of care staff. Care visits were completed timely, with people informed if staff were running late. Staff remained for the full duration of visits, often staying longer than their specified time to chat and provide companionship to people.

Staff had received training in safeguarding and knew how to identify and report concerns. People had been provided with the complaints process but had not needed to use this.

The registered manager promptly sought support and liaised with other health and social care professionals when needed. As a result, staff safely and effectively met people's needs.

The registered manager regularly consulted with people about their views of the service. People and family members confirmed that they were fully involved in planning people's care and that staff promptly acted on any changes to the support needs. This gave people and relatives additional comfort and reassurance that the service could meet people's needs.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at the last inspection

The last rating for the service under the previous office address was Outstanding, published on 18 April 2019.

Why we inspected

This was a planned inspection as part of our quality assurance process.

Follow up

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