Background to this inspection
Updated
5 August 2022
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
This 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 homes.
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 two days’ notice of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be in the office to support the inspection. We also gave time for the registered manager to send us inspection information, so we did not have to spend an extended amount of time in the office of the service.
Inspection activity started on 16 June 2022 and ended 17 June 2022. We visited the office location on 17 June 2022.
What we did before the inspection
We reviewed information we had received about the service and we sought feedback from the local authority.
During the inspection we spoke with three people who used the service about their experience of the care provided and two relatives. We spoke with one care staff and the registered manager. We reviewed a range of records. This included three care records. We looked at two 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 also reviewed.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found, which was sent to us.
Updated
5 August 2022
About the service
Higher Height Care is a domiciliary care agency, providing personal care to people in their own homes. At the time of inspection, four people were using the service. 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 and their relatives were very satisfied with the care that staff provided and with the management of the agency.
People and relatives said safe care was provided, with people protected against abuse, neglect and discrimination.
Details of how to reduce risks to people's safety were included in people's care plans.
Care plans reflected people’s individual needs.
Safe recruitment practices were in place to ensure only suitable staff worked at the service.
Enough staff were employed to meet people's needs and timely calls were in place to provide personal care.
Quality assurance systems were in place to ensure people were provided with a quality service.
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 relatives told us they were treated with respect and dignity and staff had a caring and friendly approach to them. They said they had very good relationships with staff.
Staff respected people's privacy and encouraged them to maintain their independence and do as much for themselves as they wanted to.
The registered manager understood their responsibilities and worked in an open and transparent way.
People and relatives were aware of how to approach the registered manager to raise concerns or complaints. They said the registered manager always listened to their views.
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 April 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.