Archived: Precious Homes Limited

Updated 4 August 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 28 June 2017. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that the registered manager was present. The inspection was carried out by one inspector and one expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert by experience contacted people that used the service to gain their views of the care they received.

Before the inspection we looked at information that we had received about the service and formal notifications that the service had sent to the CQC. We looked at six care records and risk assessments, seven staff files and other paperwork related to the management of the service including, medicines records, staff training, quality assurance and rota systems. We spoke with six people who used the service, six staff and one person’s relative.

Updated 4 August 2017

This inspection took place on 28 June 2017 and was announced. Precious Homes Limited is a domiciliary care agency that provides staffing to three supported living projects in North London. People who use the service live in their own accommodation in self-contained flats. At the time of the inspection there were 18 people using the service. The service works with people with mental health, learning difficulties, drug and alcohol addiction.

At the last inspection on 25 February 2015 the home was rated 'Good'.

At this inspection we found the service remained 'Good'.

Risk assessments gave staff detailed guidance and ensured that risks were mitigated against in the least restrictive way. Risk assessments were reviewed and updated regularly.

Staff had received training on medicines administration and people were supported to take their medicines safely. Medicines were accurately recorded on medicine administration (MAR) sheets. People were supported to become independent with their medicines.

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.

There were regular reviews of people’s mental health and overall well-being. Staff knew how to refer people for both physical and mental health issues. People were involved in planning their own healthcare needs.

People were supported to shop and prepare for meals. People were provided with extra support around meals if this was necessary.

People said that they were treated with dignity and respect. Staff were able to give examples of how they ensured that they promoted dignity. People were encouraged to be as independent as possible.

Staff received regular supervision and appraisal that helped them identify areas for learning and development. Supervisions and appraisals were used as an opportunity for staff to improve care practices.

Audits were carried out across the service on a regular basis that looked at things like, medicines management, health and safety and the quality of care.

Surveys were completed with people who use the service and their relatives. Where issues or concerns were identified, the manager used this as an opportunity for change to improve care for people.

Further information is in the detailed findings below.