We carried out a review of the data available to us about Harmony Healthcare 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 Harmony Healthcare, you can give feedback on this service.
Harmony Healthcare provides nursing and personal care to people living in their own homes. The agency was supporting 22 people at the time of our inspection, 18 of whom were children and four of whom were young adults. Many of the children and young people using the service had complex needs, including epilepsy and needs relating to eating, drinking, breathing and communication.
People’s experience of using this service and what we found
Families said staff provided care in a safe way, including when they used any equipment involved in their children’s care. Risk assessments had been carried out to identify and minimise any risks involved in children and young people’s care. Medicines were managed safely. Staff wore appropriate personal protective equipment (PPE) when they provided care and protected children and young people from the risk of infection.
Staff understood their responsibilities in protecting children and young people from abuse and knew how to report any concerns they had. The provider’s recruitment procedures helped ensure only suitable staff were employed.
Staff had an induction when they started work and had access to the training they needed to carry out their roles. Staff were well-supported by the management team and had access to support and advice when they needed this, including through regular clinical supervision. The clinical management team carried out regular spot checks to ensure staff were providing care in line with best practice.
Children’s needs were assessed before they used the agency to ensure staff had the skills and training they needed to provide their care. When a team of suitable staff had been identified, they met with the clinical team to discuss how the package of care would be managed. Families and their children were encouraged to meet the staff allocated to their care team before they began to use the service.
Staff monitored children’s health effectively and responded prompt action if they became unwell. Professionals told us staff worked collaboratively with them to ensure children’s healthcare needs were met.
Children and young 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.
Families told us staff were kind and caring and said their children had established positive relationships with the staff who provided their care. Families said staff worked in partnership with them to ensure their children received the care they needed.
Staff supported children and young people to take part in activities, pursue their interests, and to be part of their community, including attending school. Staff respected children’s and families’ cultural and religious needs.
Families told us communication from the agency was good and said they were encouraged to give feedback about the care their children received. Complaints had been investigated appropriately and used as opportunities to improve the service.
The agency had an established management team with clear lines of responsibility. The registered manager had relevant experience for their role and provided good clinical leadership. There were effective systems to monitor quality and safety, including audits of key areas of the service. The agency worked well with other professionals to ensure children received co-ordinated care that met their individual needs.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were the underpinning principles of Right support, right care, right culture.
Right support:
The model of care being provided maximised children and young people’s choice, control and independence.
Right care:
Children and young people’s care was person-centred and promoted their dignity, privacy and human rights.
Right culture:
The ethos, values, attitudes and behaviours of leaders and care staff ensured children and young people’s led confident, inclusive and empowered lives.
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 8 January 2021 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date the service was registered with us.
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.