One to One Homecare Limited

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 inspection was carried out by one inspector.

Service and service type

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

This service also provides care and support to people living in two ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

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. The registered manager is also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of 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 provider or registered manager would be in the office to support the inspection.

Inspection activity started on 13 June 2022 and ended on 14 June 2022. We visited the location’s office on 13 June 2022.

What we did before the inspection

We used information gathered as part of monitoring activity that took place on 20 April 2022 to help plan the inspection and inform our judgements. This included written feedback from four people who used the service.

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 met with one person who lived in a supported living setting who was unable to use words to communicate. We also spoke on the phone with two people who used the service. We spoke with three staff about their experience of working for the agency.

The registered manager/ provider and the business development manager were available throughout the inspection.

Updated 13 July 2022

About the service

One to One Homecare Limited provides personal care and support to people living in their own homes. Some people who received a service lived in supported living houses which they shared with other people. The service provides support to people who have a learning disability and/or mental health needs. At the time of our inspection there were seven people receiving the regulated activity of personal care.

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

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.

Based on our review of key questions safe and well led The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right Support

People were supported to have maximum choice, control and independence. People and/or their representatives were involved in decisions about their care and support.

Staff supported people in their own homes to continue to be in control of their day to day lives. Care provided was flexible to fit in with people’s wishes.

People were supported by small staff teams who knew them well. People had trust in the staff who supported them.

Right Care

People received kind and compassionate care. Staff knew people well which enabled them to provide person-centred care in accordance with people’s wishes and preferences.

People received care which met their individual needs. Staff worked with other professionals to make sure people received the right care and treatment.

People were supported to follow their own interests and hobbies.

Right Culture

People were supported by a management team who worked hard to promote a culture where people were valued and respected as individuals. This culture enabled people to live the lives they chose. Staff spoken with treated everyone as an individual.

People were cared for by staff who felt valued by the organisation and supported by the management team.

Communication between staff was good which meant people received care and support in accordance with their up to date wishes and needs.

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

Rating at last inspection

The last rating for this service was good (report published 19 February 2019)

Why we inspected

This inspection was prompted by a review of the information we held about this service.

The overall rating for the service has not changed from good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for One to One Homecare Limited on our website at www.cqc.org.uk.

Follow up

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