8 November 2023
During a routine inspection
Holistic Care Community is a domiciliary care service registered to provide personal care and support to people in their own homes. Not everyone who used the service received personal care. 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. At the time of the inspection there were 259 people receiving personal care.
People’s experience of the service and what we found
The majority of people and their relatives were happy with the care and support provided. Comments included, “I am pleased with the service provided” and “I am very happy with my carers.” However, some people had experienced delays in their call visits. The provider had been successful in recruiting additional staff which had ensured sufficient staffing levels. People were supported by staff who were recruited safely. Staff received induction before they started providing care.
People were protected from the risk of avoidable harm. Comments included, “I feel safe with my carer” and “[Care staff] treat me so well.” Staff understood their responsibility to protect people from harm and to report concerns. They knew how to identify abuse and to whistle blow any concerns. Risk assessments were carried out and guidance put in place. This ensured staff were able to provide care in a safe manner. People received their medicines when required. Staff followed good hygienic practices to reduce the risk of spread of infection.
People received effective care as staff were supported to undertake their work. Staff received regular training and supervision to carry out their roles. People were supported to maintain good health and their well-being.
People told us they received care from regular care staff. This enabled them to develop positive and meaningful caring relationships. People were supported in a manner that maintained their dignity and privacy. They consented to the care provided to them. People were supported to maintain their independence and to make choices about their daily living.
People’s care needs were met. Care and support plans were reviewed and updated to reflect changes to each person’s needs. Staff supported people to access health services when required. People and their relatives knew how to raise concerns about their care.
People, their relatives and staff were happy with the management and leadership of the service. They felt their views were valued and considered. They described the registered manager as transparent and approachable. Quality assurances were undertaken on the care provided and improvements made when needed. Staff were encouraged to learn when things went wrong. The provider took action to prevent incidents from happening again. The registered manager worked in partnership with other agencies, health and social care professionals and external organisations to ensure people received care appropriate to their 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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good, published on 10 October 2017.
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.