We carried out a review of the data available to us about Executive Homecare Services Limited 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 Executive Homecare Services Limited, you can give feedback on this service.
Executive Homecare Services Limited is a domiciliary care service providing care and support to people in their own homes. At the time of our inspection the service was supporting seven people with the regulated activity of personal care. CQC only inspects the service being received by people provided with a regulated activity.
People’s experience of using this service:
People were appropriately supported to take their medicines safely and as prescribed.
People and their relatives told us they felt safe with the staff, it was usually the same carers that visited and they had got to know them well. One relative said, “Yes, it’s the same carers and we know them well.” They also said that staff usually arrived on time and stayed for as long as they were needed.
The service worked effectively with other healthcare professionals to ensure people’s health and wellbeing was maintained. People and their relatives commented that staff were good at monitoring any changes in people’s health and supporting them to get further medical attention when needed.
All the people and relatives said the staff were caring. One relative said, “We have a nice relationship with the carers, we feel like we know them and they’re lovely with [Relative]. We’re lucky to have them and we have a good laugh with them too.”
The care plans we looked at were informative, regularly reviewed and reflected the needs of the people supported by the service.
There was a positive and caring culture amongst staff at the service and they were focused on delivering a high-quality service to the people they supported.
Rating at last inspection:
At the last inspection the service was rated good (14 October 2016).
Why we inspected:
This was a planned inspection based on the previous rating.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager and office co-ordinator were in attendance during the inspection.
We saw that there was no evidence that the policies Executive Homecare Services Limited had in place had been updated. The policies also had incorrect information in them and also had a providers name other than Executive Homecare Services Limited.
The provider had systems in place to ensure that people were protected from the risk of harm or abuse. We saw there were procedures in place to guide staff in relation to safeguarding adults.
We found that recruitment practices were in place which included the completion of pre-employment checks prior to a new member of staff working at the service. Staff received regular training and supervision to enable them to work safely and effectively.
The responses from people who spoke with the inspector was that the service was either very good or excellent. People told us they were very happy with the staff and felt that the staff understood their care needs. People confirmed that staff stayed for the length of time allocated and arrived on time.
The staff employed by Executive Homecare Services Limited knew the people they were supporting and the care they needed. People who used the domiciliary service and staff told us that Executive Homecare Services Limited was well led and staff told us that they felt well supported in their roles. We saw that the manager was a visible presence and it was obvious that they knew the people who they supported really well.
We found that the service had implemented an effective system to identify, assess and manage the quality of the service that people who used Executive Home Care experienced. We also found that people were protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were maintained.
People's comments about the service included the following: 'They are superb', 'They are here at 7am every morning and they have never let me down', 'We are so comfortable with the carers that they feel like part of our family' and 'I would be confident to approach them about anything if I wasn't happy but I have never had reason to."
We spoke with a number of relatives as part of our inspection. Relatives told us that staff were punctual and reliable and they felt the quality of the service was good.
Staff felt well supported and appropriately trained. Staff had been provided with training in a range of topics since our last inspection visit and staff were being provided with supervision on a regular basis.
The provider sought the views of people who used the service in order to check on the quality of the service and make improvements to it. However, we found no other systems were in place for assessing and monitoring the quality of the service.
Some of the records maintained by the agency were not sufficiently detailed or fit for purpose.
People's comments about the service included the following; 'I can't praise them enough I get a top class service', 'I feel the carers really care about me and they are so thoughtful and kind' and 'I have the same carers everyday and they've never let me down'.
Checks had been carried out on staff before they started working for the agency. These aimed to ensure people were supported by staff who had the appropriate skills, experience and qualities they needed to carry out their roles.
We found the provider could not clearly demonstrate what systems were in place for inducting new staff, for supervising staff and for ensuring all staff had received the training they required for their role.
People told us they would feel confident to raise any concerns or complaints about the agency but they had not had reason to do so. The manager told us she had never received a complaint about the service. People who used the service had been asked to give their views about the agency through completing surveys / questionnaires. The surveys we viewed contained positive feedback about the agency.