15 August 2023
During a routine inspection
Revolution Home Care Limited is a domiciliary care agency providing personal care to people in their own homes. The service provides support to older people, including those with dementia, people with a physical disability or sensory impairment, younger adults and people with a mental health diagnosis. At the time of our inspection there were 71 people using the service.
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
People felt safe using the service. Risks to people were identified and assessed and staff followed clear guidance which was in place to keep people safe. People received their care calls on time, and staff had time to build relationships with people. There were systems in place to monitor calls and provide out of hours support. Medicines were managed safely and administered by competent staff. People were protected from the risk of infection. Lessons were learned when things went wrong because staff understood their responsibilities to report accidents and incidents. Systems were in place to review and oversee accidents and incidents and action was swiftly taken to mitigate risks to people.
Holistic assessments of people’s needs and choices were carried out. Staff received suitable training to carry out their roles safely and received support to develop. The induction process was comprehensive and equipped staff with the necessary skills. People’s needs in relation to nutrition and hydration were met. Technology was well utilised for staff to share information and work collaboratively with other organisations. People were supported to achieve good outcomes in relation to their health and well-being, staff referred to relevant healthcare professionals as appropriate.
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 were kind and caring. People’s diverse needs were considered, and people were protected from discrimination. People were supported to have choice wherever possible in their care and support.
People received personalised care and staff knew people well. The provider had a clear complaints process, which was shared with people and relatives.
The service was well-led. Governance systems were now wholly effective and embedded. The registered manager and staff demonstrated a commitment to continuous learning and improvement. People, relatives and staff were engaged with the running of the service and listened to.
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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
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 (published 24 August 2017).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.