Background to this inspection
Updated
27 July 2022
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 was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because 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 sought feedback from the local authority and professionals who work with the service. We used the information the provider sent to 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 any improvements they plan to make. We used all of this information to plan our inspection.
During the inspection
We spoke with 6 people who used the service and one relative to gather feedback about their experience of the care provided. We spoke with the service manager, registered manager, 2 senior care staff, 4 care and support workers, and 2 health and social care professionals who work closely with the provider. We reviewed a range of records relating to the management of the service and people’s care records.
Updated
27 July 2022
North Lincolnshire Home First Community Support HSCA is a domiciliary care provider which provides time limited and short term reablement to people in their own home. The service supports people following an unexpected accident or illness or an exacerbated episode of an existing health condition which focusses on supporting people to regain or retain independence . At the time of the inspection, the provider supported 102 people in their own homes.
Not everyone who used the service received personal care. The Care Quality Commission (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 told us they received high quality, person centred care from trained and supportive staff. People using the service had full control over what support they received, and how this was delivered to them.
Staff were highly motivated and told us they felt incredibly proud of the work they do supporting people to remain in their own homes and to live independently. Staff were creative at developing support plans to help people achieve their goals.
Staff were very complimentary of the registered manager and described a culture that was inclusive and supportive.
The registered manager and provider had robust systems and processes in place to continually review and monitor people’s progress through their care journey. All elements of a person’s care and support was reflected within care plans and risk assessments.
Relatives of people using the service and professionals told us that the service was exceptional. They told us that the responsive and caring nature of staff and the service was excellent.
Reviews were carried out at regular intervals by supervisors to monitor people's plans of care and ensure they were happy with the service provided.
People were actively encouraged to give their views and raise concerns or complaints.
We found the provider's integrated model of care facilitated hospital discharges, helped avoid unnecessary hospital admissions and reduced the number of people requiring long term care by supporting people to regain their independence. There was a joined up approach to providing holistic care that met the needs of people. This was enabled by an integrated system of leadership to help ensure people experienced the best possible outcomes which was confirmed by people, relatives and health and social care professionals.
There was a strong emphasis on continually striving to improve the service people received. Regular checks were carried out to monitor the quality and safety of the service and ensure that people were receiving positive outcomes.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
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 23 October 2020 and this is the first inspection.
Why we inspected
This was a planned comprehensive inspection based upon the date the service registered with CQC.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.