About the service: My Home Care Limited provides care at home for eight people who receive personal care.People’s experience of using this service:
People and their relatives valued the service provided to them, and in particular, the ability of the service to respond flexibly to support their needs. They told us staff respected their choices and preferences.
Pre-employment checks were carried out before staff began working in the service. Once employed, staff were supported using induction, training and supervision.
People were protected from harm by staff who understood safeguarding and were familiar with each person’s own personal risks. Risks assessments were in place. Staff knew more about people’s risks than was documented. The provider and the registered manager agreed to improve the risks assessments to capture the knowledge held by staff. They sent us copies of the improvements they had made.
Staff had been trained in medicines administration. They had added prescribed medicines to the records. These were not double signed. Staff and the registered manager agreed to amend the records accordingly.
Staff were aware of people’s dietary needs and supported people to do their shopping.
The provider had a system in place to monitor accidents. There had been no accidents since our last inspection.
People were routinely supported to access medical appointments. Staff attended appointments with people so they could learn about their needs and implement medical advice.
The provider and the registered manager had experience of working in care at home services and expressed the view they wished the service to remain manageable in the hours it delivered. This was to avoid the quality of the service being compromised.
Irrespective of a person’s abilities we found people were not discriminated against. People and their relatives told us they felt involved in their care and had been listened to by staff. The service worked in partnership with people, their family members and other professionals to meet people’s needs.
The management team had on-call arrangements in place to ensure staff had back up support when required.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People were given choices and their decisions were respected.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: Good (Last report published September 2018.)
Why we inspected: We carried out this inspection due concern which was passed to us by another agency. During our inspection we explored these concerns and found the service continued to meet the requirements of a rating of ‘Good’.
Follow up: We will continue to monitor the service through the information we receive and discussions with partner agencies.