Background to this inspection
Updated
3 April 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care and support to people living in their own homes or flats in the local community.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours' notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 24 February 2020 and ended on 26 February 2020. We visited the office location on 25 February 2020 and visited three people in their own homes. We contacted people, relatives and staff by telephone to gather their views on 24 and 26 February 2020.
What we did before the inspection
We reviewed the information we held about the service. The provider had not been asked to complete a Provider Information Return before the service. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. We gave the provider the opportunity to share this information during the inspection. We contacted local authority commissioners to seek their views about the service.
During the inspection
We spoke with the registered manager, the registered provider, the operations manager and reviewed a range of records at the office. This included three people's care records and care plans. We visited three people in their own homes and spoke with two people and three relatives by telephone. We also spoke with five members of care staff. We reviewed a range of records relating to the management of the service including three staff recruitment files, staff training records and other records relating to the day to day management and governance of the service.
Updated
3 April 2020
About the service
June Home Care Limited, Loughborough and Charnwood area is a domically care agency providing care and support to people living in their own homes in around the Loughborough and Charnwood area. At the time of the inspection there were 35 people using the service. 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.
People's experience of using this service and what we found
The service was safe. People's risks had been assessed and staff knew how to support people to reduce risks. Medicines were managed safely. If concerns arose such as incidents, accidents or safeguarding, staff knew how to raise these appropriately and ensure that actions were taken as needed. Timely action was taken in response to incidents and accidents to ensure lessons were learnt and reduce the risk of reoccurrence.
Staff had the skills they needed to support people and were well supported. Staff had access to a wide range of training courses which benefited people. Staff were recruited safely and there was enough staff employed to provide people with effective support.
People had enough to eat and drink and where people were nutritionally at risk this was identified, and people were supported appropriately with input from professionals when needed.
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 and their relatives were at the centre of planning people's care. People were well supported to express their views and make decisions about their care and support.
Staff had developed positive, caring relationships with people. They were considerate of people's feelings and treated them with respect and dignity. People were supported in a way that enabled them to have a good quality of life. Relatives described staff as often going above and beyond to support people to achieve the best possible outcomes.
The service provided people with personalised care that met their needs and took account of their wishes. The registered manager developed people's care plans with them. If people requested changes to the planned care the registered manager tried to agree to the requested change. Staff supported people to maintain relationships that were important to them and maintain links with their local communities. People knew how they could complain about the service.
People benefitted from a service that had a dedicated registered manager and management team whose experience was used to support people to lead full and meaningful lives. Quality assurance processes were in place and were being further developed to ensure the safety, high quality and effectiveness of the service. The values of the provider were consistently demonstrated by staff in their interactions with people and with each other.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This was the first inspection for this service since they registered with the Care Quality Commission.
Why we inspected
This was a planned scheduled inspection.
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.