Wyndsor Home Care Service is a domiciliary care agency. It provides personal care to people living in their own homes. At the time of the inspection 11 people were provided with personal care.Not everyone using Wyndsor Home Care receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
At our last inspection in December 2015 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
This inspection took place 22 August 2018 and was announced.
The service had a registered manager who was also the registered provider and they understood the responsibilities of their registration with us. They reported significant events to us, such as safety incidents, in accordance with the requirements of their registration when this was required. 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.
People were supported to remain safe in their own home because staff were aware of the risks associated with people's needs and home environments and how to reduce these. Staff were provided with the knowledge and equipment to reduce the risks of the spread of infections. Staff were knowledgeable about the different types of abuse and knew how to report concerns. The registered manager followed well managed recruitment procedures to make sure potential new staff were suitable to work with people who used the service.
The registered manager assessed staffing levels dependent on people's level of needs. People were supported by staff who had the necessary skills and knowledge to understand and meet people's needs. Staff felt supported and had access to training relevant to their roles.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Staff put into practice the knowledge they had gained which included seeking people's consent before supporting them and respected their decisions. Staff provided information to people in a way they understood to support them to make their own decisions.
People were offered choice about what they wanted to eat and drink with staff checking where necessary people were eating and drinking sufficiently to meet their individual needs. People who needed staff assistance with their medicines were supported with these to support their health and wellbeing. Staff also worked closely with local health and social care services and supported people whenever this was required to access any specialist support they needed.
People were support by staff who were caring and showed respect towards them. Staff had formed positive caring relationships with people who used the service and their relatives. People were supported to remain as independent as possible due to staff knowing people's individual likes and dislikes. Staff were mindful to support people in a way which maintained their dignity and upheld their right to privacy.
People received individualised care which reflected their needs and wishes. People benefitted from a flexible service which was responsive to changes in their needs and requirements. People were given opportunities to comment on the quality of the service and felt comfortable to raise any concerns with staff or the registered manager who they knew well.
There was a positive culture where staff and the registered manager worked together to provide good quality care. People who used the service, relatives and staff found the registered manager easy to approach and helpful. Quality checks were developed and implemented on an on-going basis to continually drive improvements in the service people were provided.
Further information is in the detailed findings below.