HH Care Services Ltd

Updated 15 October 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 Care Act 2008.

Inspection team

This inspection was conducted 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. This is help with tasks related to personal hygiene and eating.

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 24 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.

Inspection activity started on 06 September 2022 and finished on 09 September 2022. We visited the office location on 06 September 2022.

What we did before the inspection

We reviewed information we had received about the service since it had registered with us. We used this information to plan our inspection.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with the registered manager and the care co-ordinator, three care workers and two relatives and two healthcare professionals. We did not speak to people as some could not communicate in English and others were children.

We reviewed a range of records. This included three care records, three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including complaints, incident forms, policies and procedures were reviewed.

We requested additional evidence to be sent to us after our inspection. This including training records, surveys and records relating to governance including policies and procedures.

Updated 15 October 2022

About the service

HH Care Services Ltd is a domiciliary care agency providing personal care to people in their own homes. At the time of the inspection, there were four people receiving help with personal care. This is help with tasks related to personal hygiene and eating.

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

Relatives were satisfied with the delivery of care and felt their family members were kept safe from harm by care workers. Risks to people such as pressure sores, mobility and nutrition were assessed and there were guidelines for care workers to follow to reduce the risks to people. There were safe recruitment procedures in place and the provider ensured there were enough staff employed to keep people safe, including calls where two care workers were needed. The provider followed good infection control practice.

Staff were given appropriate training and supervision which meant they were competent in carry out their roles. The provider assessed people’s needs and sought appropriate consent from them or their relatives when they first started to use the service. Care workers were aware of the need to support people in line with their wishes, including their dietary and medical needs.

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.

Relatives and healthcare professionals told us that care workers were caring and treated people using the service with respect. People and their relatives were involved in directing their care and felt that care workers met their religious and cultural needs. Care workers were aware of the importance of encouraging people’s independence and to provide care that was respectful of their privacy.

The provider had systems in place to ensure that care plans were reviewed on a regular basis. People had individual care plans in place which included any areas of support and the steps that staff needed to take to help them. People’s end of life wishes were met by the provider. Relatives told us they had no complaints about the service but were given details of how to raise a concern or complaint if needed.

There were systems in place to monitor the quality of service. These included audits, feedback forms and formal surveys. The registered manager was aware of her regulatory duties including notifying CQC of any reportable incident.

Rating at last inspection

This was the first inspection of the service since it registered with the CQC on 15 June 2021.

Why we inspected

This was a planned inspection based on when the service registered with us.

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.

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