Harmony Home-Led Care

Updated 23 May 2023

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

This inspection was completed by 1 inspector.

Service and service type

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

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

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

Inspection activity started on 9 May 2023 and ended on 11 May 2023. We visited the location’s office/service on 10 May 2023.

What we did before the inspection

We reviewed information we had received about the service since the service registered. 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 the registered manager, the director of finance, director of compliance, the director of human resources and an office administrator on the day of the site visit. We reviewed a range of records including 3 people’s care plans and medicines administration records and risk assessments. We reviewed recruitment records for three care workers, training records and records relating to the management of the service.

We spoke with 2 people using the service, 2 relatives and 4 members of staff on the telephone. In addition, we received feedback via email from a health and social care professional, a relative and a member of staff. You can see what they told us in the main body of the report.

Updated 23 May 2023

Harmony Home-Led Care Limited is a domiciliary care service that provides personal care to people in 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 our inspection, there was a total of 6 people receiving support. Only 3 people were receiving personal care from the service.

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

People were safe. Policies and procedures were in place to guide care workers on how to keep people safe and what they had to do if they had concerns. Care workers understood the risks to people's safety and wellbeing and what they should do to keep people safe.

There was enough care workers to support people. No new packages of care would be taken on unless there were sufficient care workers. People were supported by care workers that knew them well. Systems were in place to ensure the right staff were recruited.

Care workers received relevant training to help them meet people's needs. Care workers were well supported by the registered manager and the management team. Care workers had regular individual supervisions and monthly team meetings. These along with spot checks were used to encourage continual learning and to make improvements to the service.

Care workers respected people's rights to privacy, dignity, and independence. They knew the person they were supporting well and described care that was person centred and very much led by the individual. People told us the care workers were caring, kind and respectful.

People were supported to have maximum choice and control of their lives and care workers supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The registered manager and provider monitored and reviewed the quality of service. This included checking the views of the person using the service about the care and support they had experienced and any areas for improvement.

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

Rating at last inspection and update

This service was registered with us on 16 December 2021, and this is the first inspection. The service was not providing regulated activities until August 2022. The service has been rated good.

Why we inspected

This was a planned inspection to check whether the provider was meeting legal requirements and regulations, and to provide a rating for the service as directed by the Care Act 2014.

Follow up

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