House of Care Services Ltd is a domiciliary care service providing personal care support to people in theirown homes. Support is provided to older people, people living with dementia, people with learning disabilities, people with physical disabilities and people with mental health conditions. At the time of our inspection the service provided personal care to 17 people. This is help with tasks related to personal hygiene and eating.
People's experience of using this service and what we found
People felt safe with their care workers and safeguarding procedures protected people from harm. Risk management had improved since our last inspection and detailed risk management plans supported care workers to provide consistent, safe care to people. Staff were trained in safeguarding and understood their responsibility to report any concerns about people to their managers. Lessons had been learnt when things had gone wrong.
Care workers followed good infection control practice and understood their responsibilities in relation to preventing and controlling infections to keep people safe.
Staff were recruited safely. People’s needs had been assessed before they started to receive a service. People confirmed their care calls had been provided at the correct times for the agreed duration.
People received their medicines when they needed them from trained and competent care workers. People were supported to eat and drink enough to maintain their health.
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.
People and their relatives had confidence in the ability of their care workers to deliver safe and effective care. Care workers spoke positively about their training and felt supported and appreciated by their managers.
Effective governance systems monitored the quality and safety of the service provided. People spoke positively about the leadership of the service and told us they would recommend the service to others. People felt listened to and were encouraged to share feedback about the service they received, which had been used to support service improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was requires improvement (published 21 March 2019) and there were two breaches of regulations. The provider completed an action plan after that 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 the regulations 11 (Need for Consent) and 17 (Good Governance).
Why we inspected
This was a planned inspection based on the previous rating. We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions of Safe, Effective and Well-led. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for House of Care Services ltd on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.