River Of Care Ltd

Updated 15 November 2019

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 one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own home.

The service had a manager registered with the Care Quality Commission. This means that they and the provider (who was the registered manager) 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/registered manager would be in the office to support the inspection.

Inspection activity started on 11 October 2019 and ended on 28 August 2019. We visited the office location on 11 October 2019.

What we did before the inspection

We reviewed information we had received about the service since they were first registered with CQC. We looked at details about incidents the provider must notify us about, such as allegations of abuse, and we sought feedback from the local authority and other professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We received feedback from one person who used the service before the inspection (via a share your information form) and we spoke with two social care professionals about their experience of the care provided. We spoke with the registered manager and an administrator on the day of our office visit, and two care staff by email after our visit.

We reviewed a range of records. This included two people’s care records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 15 November 2019

About the service

Morning Hope Homecare provides personal care to adults living in their own homes who may live with dementia or a physical disability. There were two people receiving personal care at the time of our inspection.

Not everyone who uses the service may personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

People said they had a positive experience in respect of the care and support they received. They told us they received support from staff in a timely way and were not kept waiting for assistance.

People were comfortable in the presence of staff and told us they felt safe. Staff were knowledgeable about potential risks to people and were able to tell us how these would be minimised without compromising people’s rights.

People were supported by staff who were caring and compassionate. Staff showed respect for people’s rights, privacy, dignity and independence. Staff providing care to people were limited to a small number to aid consistency of care and ensure positive relationships were maintained with people.

People received effective person-centred care and support which was based on their individual needs and preferences. Staff were knowledgeable about people’s needs and preferences and people and social care professionals told us they well treated and received a good standard of care. People’s care records reflected people’s involvement and how person-centred care was planned.

People were supported by care staff who had a range of skills and knowledge to meet their needs. Staff understood their role, felt confident and well supported. Staff received supervision they felt was constructive from the provider. People's health was supported as staff worked with other health care providers as needed to ensure their health needs were met.

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 told us staff responded to their needs effectively and their preferences were known and respected by staff.

People knew how to complain, and any concerns raised were followed up to ensure a suitable outcome was reached for the person using the service. People were confident they could communicate how they felt to staff, who were approachable and listened to what they had to say.

People and staff gave a positive picture as to the quality of care people received and said management was proactive.

Quality monitoring systems were in place, and the provider completed various audits to assist them in monitoring and helping them to identify how to improve people’s experiences.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection: This service was registered with us on 02 October 2018 and this is the first inspection.

Why we inspected

This was a planned inspection based on the date the service was first registered.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.