Background to this inspection
Updated
22 November 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.This was a comprehensive inspection.
This inspection took place on 26 and 27 September 2018 and was announced. This was the first inspection of this service. We gave the service 48 hours' notice of the inspection visit because the location provides a domiciliary care service. We needed to be sure that the registered provider would be in.
The inspection team consisted of one inspector. We used information the provider sent us in the 'Provider Information Return'. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
We also reviewed information that we hold about the service such as safeguarding information and notifications. Notifications are the events happening in the service that the provider is required to tell us about. We used this information to plan what areas we were going to focus on during our inspection.
We spoke by phone with four relatives and accompanied by a staff member we visited four people. We spoke with four members of staff, the registered manager of the service, training and recruitment manager and the provider. We reviewed four people's care files and four staff recruitment and support records. We also looked at the service's quality assurance systems, the registered provider's arrangements for managing medication, staff training records, staff duty rotas and complaint and compliment records.
Updated
22 November 2018
Home Instead Senior Care is registered to provide personal care for people who live in their own homes. This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults. At the time of our inspection 5 people were receiving care in their own homes. Not everyone using this service received a regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating.
This inspection took place on the 22 and 23 September 2018 and was announced. This was the first inspection of this service. We gave the service two day's notice of the inspection site visit because we needed to be sure that people who wanted to speak to us and management were available during the inspection.
People told us they felt safe and had confidence in the caregivers being able to provide the care they needed in an efficient manner. One person said, "I feel they (caregivers) know what they are doing which makes me feel safe." Another person said, "The staff are all so caring and friendly really makes the difference. It is not always easy having people coming into your home."
People and relatives spoke of the service as being "Excellent." and "Go above and beyond." and "Gone way above our expectations."
People were provided with a service that was personalised, consistent and flexible, able to respond to changing needs. Where people had specific needs around health care these had been met and staff displayed a confidence in having the skills necessary.
There was a culture where the management team and caregivers provided a service which went the extra mile to ensure people had a service which was caring and responsive.
People had an opportunity to express their views about the quality of the service through frequent reviewing of their care arrangements. One person told us how they had benefitted from being able to make changes to their care when their needs changed as part of their review.
The service was accessible to people and they told us, "You can always contact the office and get a response." and "You only have to ring the office if there is a problem and they will deal with it."
The provider and management team promoted an atmosphere and culture where employees were respected and valued. One staff member told us, "This is such a good place to work."