- Homecare service
Top Option Healthcare Limited
Report from 13 February 2024 assessment
Contents
Ratings
Our view of the service
Top Option Healthcare Limited provides personal care and support to people who require assistance in their own home. This service is a domiciliary care agency. At the time of our assessment 10 people were being supported by 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. We carried out our on-site responsive assessment on 3 July 2024, offsite activity started on 01 July 2024 and ended on 10 July 2024. We looked at 8 quality statements; Learning culture; Safeguarding; Involving people to manage risks; Safe and effective staffing; Medicines optimisation; Capable, compassionate and inclusive leaders; Freedom to speak up; Governance, management and sustainability. This assessment was announced. We found 3 breaches of the legal regulations in relation to safe and effective staffing, good governance and the notification of incidents. We have made a recommendation about end of life wishes.
People's experience of this service
Suitable arrangements were not in place to ensure all staff employed were safely recruited or received a robust induction. The registered manager’s governance arrangements did not always provide assurance the service was well led. Quality assurance systems were not robust and had not identified the shortfalls we found during our inspection. 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. Staff had a good understanding of people's preference of care, staff promoted people's independence.