Home Instead Senior Care

Updated 19 February 2021

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 Care Act 2014.

Inspection team

The inspection team consisted of two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Home Instead Senior Care is a domiciliary care agency. It provides personal care to people living in their own houses.

The service had a manager registered with the Care Quality Commission. 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.

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 4 February 2021 and ended on 10 February 2021. We visited the office location on 10 February 2021.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and eight relatives about their experience of the care provided. We spoke with eight members of staff including, caregivers, the client liaison manager, the office manager and the registered manager.

We reviewed a range of records. This included three people’s care records. We also looked at records relating to the management of the service, including procedures and governance records.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 19 February 2021

About the service

The provider is registered with us to provide personal care and support for people who live in their own homes. They were supporting 24 people at the time of our inspection.

People's experience of using this service and what we found

People were supported in a safe way. Risks to people were considered and reviewed and lessons learnt when things went wrong. There were enough suitably recruited staff available for people. Medicines were administered as prescribed. Actions were taken to ensure infection control procedures were followed in people's homes.

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 support this practice. People had access to health professionals when needed. People were supported at mealtimes accordingly. People received care based on their assessed needs and their preferences were taken in to account.

There were systems in place to monitor the quality and drive improvements when needed. Staff felt supported and listened to. People and relatives spoke positively about the company. Feedback was sought from people and relatives who used the service.

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 requires improvement (published 29 July 2019) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.