Background to this inspection
Updated
10 January 2019
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 comprehensive inspection took place on 5 and 6 December 2018 and was announced. We gave the provider three days’ notice of the inspection because managers are sometimes out of the office supporting staff or visiting people who use the service. We needed to be sure the registered manager and office based staff would be available to speak with us during our inspection.
The inspection was conducted by one inspector.
Prior to this inspection, we reviewed information that we held about the service such as notifications. These are events that happen in the service that the provider is required to tell us about. We also considered information that had been sent to us by other agencies. However, due to technical problems, the provider was not able to complete a Provider Information Return. This is information we require providers to send us at least once annually 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 our inspection we spoke in-person with the registered manager, two office-based compliance and administrative officers, a field supervisor and a care worker.
Records we looked at included five people’s care plans, five staff files and various documents that related to the overall governance of the service, such as management of medicines, policies and procedures, and complaints. In addition, we sought people’s views about the service by contacting two people who received a home care from this agency and four relatives by telephone, and two care workers by email.
Updated
10 January 2019
This comprehensive inspection took place on 5 and 6 December 2018 and was announced.
My Homecare Sutton and Surrey is a home care agency that provides personal care to people living in their own homes in the community.
On the day of our inspection this agency was providing personal care to 11 older people who lived in North Surrey and the London Borough of Sutton. Most people who received a home care service from this agency were also living with various forms of dementia.
One person the agency supported did not receive a regulated activity from them. The Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’, which includes help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
The service has had the same registered manager in post since they registered with us 12 months ago. A registered manager is a person who has registered with the CQC to manage a service. Like registered providers, they are 'registered persons'. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
This provider was newly registered with the CQC in December 2017. This is the first time this new home care agency will have been inspected and rated by us. We have rated the service ‘Good’ overall and for all four out of the five key questions, ‘Is the service safe, effective, caring and responsive?’
However, we have rated them as ‘requires improvement’ for well-led. This was because we identified a number of issues about this key question. Specifically, we found the provider had not maintained sufficiently detailed and easily accessible records in relation to people using the service, persons employed and the overall management of the home care agency. We have recommended that the provider considers ways to improve how they maintain and organise records they are required to keep.
This issue notwithstanding, we found there was no evidence or information from our inspection and ongoing monitoring that demonstrated any serious risks or concerns about My Homecare Sutton and Surrey. For example, although some aspects of the service were not well-led, the monitoring of service provision was effective because repeated shortfalls were identified and resolved. There was also an open and transparent culture. People the provider supported, their relatives and staff were complimentary about the leadership approach of the registered manager. People, their relatives and staff were asked to share their feedback about the service action was taken in response.
People the provider supported, their relatives and professional representatives were all extremely complimentary about the standard of the service they, their loved ones or clients received from this home care agency.
People received a safe service where they were protected from avoidable harm, discrimination and abuse. Risks associated with people’s needs had been assessed and planned for and these were monitored for any changes. Staff were usually punctual and never missed their scheduled visits. There were safe staff recruitment procedures in place and used. Where people needed assistance with taking their medicine this was monitored and safely managed in line with best practice guidance. Accidents and incidents were analysed for lessons learnt and these were shared with the staff team to reduce further reoccurrence.
People received an effective home care service. Staff received the training and support they required, including specialist training to meet people’s individual needs. People were supported with their nutritional needs. Staff identified when people required further support with eating and drinking and took appropriate action. The staff worked well with external health care professionals, people were supported with their needs and accessed health services when required. 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. The principles of the Mental Capacity Act (MCA) were followed.
People received support from staff who were kind and compassionate. Staff treated people they supported with dignity and respect. Staff ensured people's privacy was always maintained particularly when they supported people with their personal care needs. Staff had developed positive relationships with the people they supported, they understood people’s needs, preferences and what was important to them. Staff knew how to comfort people when they were distressed and made sure that emotional support was provided. People’s independence was promoted.
People received a responsive service. People’s needs were assessed and planned for with the involvement of the person and or their relative where required. Care plans were personalised and up to date. There was a complaints procedure and action had been taken to learn and improve where this was possible.