Home Instead (Redditch & Bromsgrove)

Updated 9 December 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 2 inspectors.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was announced. We gave the service 21 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.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service and 9 relatives about their experience of the care provided. We spoke with 9 staff, including the registered manager and care staff. We received feedback from a health professional who worked with the service.

We reviewed a range of records. These included 6 people’s care records and multiple medication records. We checked 3 staff recruitment and induction files, staff team meeting minutes and compliments received. We saw records showing how staff worked with other health and social care professionals so that people would achieve good care outcomes. We reviewed records relating to the management and safety of the service, including audits, policies and procedures.

Updated 9 December 2023

About the service

Home Instead Senior Care (Redditch and Bromsgrove) is a domiciliary care agency providing personal care to people in their own homes. The service provides support to younger and older people who may live with dementia, learning disabilities or autistic spectrum disorder, physical disabilities, mental health needs or sensory impairments. At the time of our inspection there were 69 people using the service who received a personal care.

People’s experience of the service and what we found:

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Care

People told us staff were exceptionally supportive, compassionate and consistently treated them, their families and homes with respect. People were cared for by staff who had developed an in depth knowledge of what mattered to them. Staff use their knowledge of people’s preferences when caring for them, and placed people at the centre of everything they did. People told us this made them feel respected and enhanced their well-being. The provider carefully matched staff to the people they supported. This helped to ensure people’s life experiences and values were celebrated by staff, and people were supported to reconnect with their past and promoted their enjoyment of life. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. The service had enough appropriately skilled staff to meet people’s needs and keep them safe.

Right Culture

There was a positive and person-centred culture, because of the ethos, values, attitudes and behaviours of the management and staff. People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs. Staff turnover was very low, which supported people to receive consistent care from staff who knew them well. People and those important to them were involved in planning their care. The registered manager and provider regularly checked the quality of people’s care and used their findings to improve the quality of the service and to take learning from incidents.

Right Support

Staff supported people to have choice, independence and maximum control over their lives. Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. Staff worked with people, relatives and health and social care professionals to maintain people’s health and wellbeing. Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome. Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs.

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 Good, published 20/10/2017.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We undertook a focused inspection to review the key questions of safe, caring and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Home Instead Senior Care (Redditch and Bromsgrove) on our website at www.cqc.org.uk.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.