We carried out a review of the data available to us about Emiran HealthCare on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Emiran HealthCare, you can give feedback on this 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.
Quality assurance systems were not always effectively carried out to ensure people were provided with a quality service. Information of how to reduce risks to people's safety were included in people's care plans but were not always detailed. Surveys had not been not systematically provided to people, staff or relatives, on a regular basis, which could have identified issues that needed action.
Staff did not always attend calls at agreed times. Safe recruitment practices were in place to ensure only suitable staff worked at the service, though evidence of the take up of some relevant references from health and social care providers was lacking. Enough staff were employed to meet people's needs.
Everyone said they were satisfied with the care staff provided and with the management of the service. Staff were praised for their caring, respectful and friendly attitudes. People and relatives said safe care was provided or, if they had any concerns, the registered manager would swiftly act on the issue and put measures in place to ensure safe care. People were protected against the risk of infection.
People were protected against abuse, neglect and discrimination.
The registered manager understood their responsibilities and worked in an open and transparent way. People and relatives said the registered manager always listened to their views.
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 (Report published in February 2021).
Why we inspected
The inspection was prompted by a concern we received that safe care had not been supplied to a person. 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.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Emiran HealthCare 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.
Emiran HealthCare is a is a domiciliary home care service providing personal care to people in their own houses or flats.
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 two people were receiving personal care from the service.
People’s experience of using this service and what we found
People said they felt safe using the service and the staff were kind and caring. Risks to people’s safety were assessed and mitigated and the support plans reflect people’s current needs and preferences.
Staff recruitment procedures ensured only suitable staff were employed at the service. There was enough staff to meet people’s needs. People confirmed that staff arrived at the agreed times and stayed for the duration of the allocated calls.
Staff received appropriate training to meet people’s needs safely. Systems were in place to ensure staff received regular supervision and on-going support.
At the time of this inspection, people did not require staff to administer medicines to them. The service had a medicines policy and staff were provided with medicines administration training, in the event of needing to administer medicines in an emergency or in response to people’s changing needs.
People’s needs and preferences were sought and incorporated into their care and support plans. Staff had access to the providers equality and diversity policy and were trained in supporting people with protected characteristics.
Staff received training on infection prevention controls, including specific COVID-19 training. They used personal protective equipment (PPE) and followed current government COVID-19 guidance to prevent the spread of infection. Individualised risk associated with Covid-19 had been assessed and mitigated for people and staff with higher risk health needs and staff from Black, Asian and Minority Ethnic groups (BAME).
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 understood the accessible information standard and that information could be made available in other languages, easy read format and large print, if required
The registered manager understood the responsibility of keeping robust records of all complaints, and safeguarding concerns and to report notifiable incidents to the Care Quality Commission (CQC). Following the inspection, they provided a detailed account of a safeguarding concern they had investigated. They confirmed going forward detailed records would be maintained of all complaints and safeguarding concerns, to evidence the actions taken. They also confirmed that all safeguarding concerns and other reportable incidents would be reported to CQC without delay and embedded into practice.
Reviews and audits were consistently carried out to maintain oversight of the quality and safety of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 10/05/2019 and this was the first inspection.
Why we inspected
We looked at the overall quality of the service to provide a rating for the service under the Care Act 2014.
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.