Trends Healthcare Essex

Trends Healthcare Westcliff is a domiciliary care agency providing personal care to people in their own homes. At the time of our inspection there were 10 people receiving a regulated activity.

People’s experience of using this service and what we found

Feedback from families and relatives was positive. A relative told us, “I am absolutely delighted with the service, they are so helpful, I feel blessed.” One person told us, “They [staff] are very good. I feel lucky to have them.”

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. Care was personalised around people’s needs and preferences. There were enough staff to meet people’s needs. People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. The registered manager enabled staff to develop their skills to provide good quality care.

There were systems in place to minimise the risk of infection and to learn lessons from accidents and incidents. Medicines was administered by staff who had received training to do so.

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.

The registered manager continuously developed their own skills and staff skills to promote positive outcomes for people using the service. Staff remained committed to providing good quality care. Quality assurance systems were in place to monitor the quality and safety of the service. The registered manager maintained good oversight of the service and used this to continuously drive improvements and adhere to best practice principles.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The rating at the last inspection was good (published 18 October 2019).

Why we inspected

We received concerns in relation to staff recruitment. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Trends Healthcare Westcliff on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Trends Healthcare Westcliff is a domiciliary care agency providing personal care, treatment and support to people who require assistance in their own home. At the time of the inspection, 20 people were using the service.

People’s experience of using this service and what we found

People received their prescribed medicines by trained staff. However, where people were prescribed 'as and when required' medicines, there were no protocols in place to assist staff to understand when to administer such medicines.

We have made a recommendation about the safe management of medicines regarding 'as and when' medicines.

People felt safe and trusted staff. They received care from a consistent staff team who had been recruited safely. There were enough staff to meet the needs of people. Staff had completed safeguarding training and understood their responsibilities to report any concerns to protect people from harm and abuse. Risk assessments were completed to identify and mitigate risks and help keep people safe.

Staff received on-going training, supervision and appraisal to enable them to fulfil their role and responsibilities. Where required, people were supported with their nutritional needs and to access health care services. 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.

People told us staff were kind and caring and treated them with respect and dignity. People’s independence was promoted and encouraged by staff.

People knew how to raise a complaint and felt confident any concerns would be addressed. Where there had been incidents or complaints, these had been responded to appropriately and the provider had systems to monitor and learn from these.

The culture of the service was person-centred, and staff were committed to providing good quality care. The registered manager had a clear understanding of their responsibilities to meet regulatory requirements. Quality assurance systems were in place to monitor the quality and safety of the service. People were encouraged to express their views on the service they received and to support continuous improvement.

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 25 January 2017). Since this rating was awarded the service has moved premises and the provider has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.