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Charity Earnshaw Also known as Charity Earnshaw

Overall: Good read more about inspection ratings

High View (off Greenbank), High Street, Newton Poppleford, Sidmouth, EX10 0DZ 07482 167528

Provided and run by:
Mrs Charity Kelechi Earnshaw

Report from 7 February 2024 assessment

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Well-led

Good

Updated 30 April 2024

People and staff felt they could speak up and that they would be heard. There were a range of effective governance systems in place which was used to shape and deliver good quality care.

This service scored 64 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Shared direction and culture

Score: 2

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Capable, compassionate and inclusive leaders

Score: 3

There were processes in place to identify, address and respond to concerns that may affect the quality of care people receive of staff effectiveness. Staff were clear on their roles and responsibilities. The provider had systems in place to ensure the service continually evolved to enhance outcomes for people.

The service was led by an experienced provider that had people that used the service at the centre of their care model. All of the staff we spoke with told us that the provider was visible, approachable and would always support them if needed. Staff felt leaders listened to them and acted upon matters raised.

Freedom to speak up

Score: 3

There were whistleblowing policies in place and staff meetings were held for staff at all levels to seek feedback and communicate key messages. There were policies in place relating to the Duty of Candour detailing the providers responsibilities in the event something goes wrong.

The provider told us they continually communicated with staff and said they encouraged staff to discuss how to grow the service. Staff told us the provider was approachable and they felt able to raise concerns or suggestions. They understood the concept of whistleblowing and were aware of external agencies they could raise concerns with.

Workforce equality, diversity and inclusion

Score: 2

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Governance, management and sustainability

Score: 3

There were a series of systems and processes in place. Systems were in place to monitor the quality and safety of the service. Audits were completed regularly as part of monitoring the service provided. These checks reviewed people’s care plans and risk assessments, medicines, incidents, accidents and health and safety. There were systems to communicate changes as a result of audits.

Service leaders had created clear lines of responsibility and staff understood their roles. Staff spoke positively about communication and how the provider supported them. Staff said they were informed of matters affecting them or the overall service via team meetings, memos, and conversations on continual basis.

Partnerships and communities

Score: 2

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Learning, improvement and innovation

Score: 3

There were relevant governance policies in place. There were systems that ensured people using the service, their families and carers could contribute to service development. New technology had been invested in as part of the service innovation. Staff meetings were held and staff were encouraged to contribute to sharing ideas to enhance service innovation.

The provider told us they had invested and developed new systems within the service to learn from previous inspection outcomes. This had resulted in improvements and a more effective way of working in matters such as care planning, training, recruitment and governance. There were enhanced systems to identify and reduce known risks. Staff spoke positively about new systems in place that enhanced communication.