Eclipse Care Solution Ltd

Updated 22 July 2021

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

This inspection was carried out by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

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 28 June 2021 and ended on 1 July 2021. We visited the office location on 28 June 2021.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us 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 the inspection

We spoke with seven people who use the service and their family members about their experience of the care provided. We spoke with seven members of staff; this included the registered manager and deputy manager.

We reviewed a range of records. This included four people's care records and medication records. We looked at five staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

Updated 22 July 2021

About the service

Eclipse Care Solution Ltd provides care and support to people in their own homes across the St. Helens area. 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. At the time of the inspection there were 14 people were using the service.

People's experiences of using this service and what we found

Individual risks to people had been assessed and in most cases staff had access to information and guidance around how to manage identified risks and prevent harm occurring. However, two people had risks associated with diabetes. No information or guidance was available for staff to enable them to identify and respond to concerns associated with this risk. No person had come to harm as result of this and by the end of our site visit, the registered manager had created risk management plans and guidance sheets for staff to access. This was further confirmed by staff throughout the inspection.

People told us they felt safe with the staff who supported them and whilst they had no concerns or worries, knew who they could talk to if they did. Family members told us they knew their relatives were safe and felt confident leaving them in their presence. One family member told us; "I can go the shops now which I couldn't do before."

There enough suitably qualified and skilled staff to cover the hours of support that people required. People and family members told us staff always arrived on time and never appeared rushed. Staff told us calls were well organised and carefully spaced out giving them enough time to travel to each call. Safe recruitment processes were in place to ensure newly recruited staff were suitable to work with vulnerable people.

Systems were in place to prevent the spread of infection and reduce risks associated with COVID-19. Staff accessed regular COVID-19 testing and told us they were kept up-to-date with information and guidance about infection prevent control and the current pandemic. People told us staff always wore the correct PPE and staff told us they had access to enough supplies.

People's needs had been assessed in line with current guidance and plans in place to help staff manage these effectively; this included any needs associated with meal preparation. Staff supported people to access health care professionals and acted on advice given 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 family members were complimentary of all staff who supported them. They told us they were genuinely kind and lovely people and brightened up their day. One person told us; "They [staff] do anything they can do for me. I never have to ask, they just do it." A family member told us; "They [staff] always ask if we need anything doing before they leave. Even things they are not paid to do."

People received care that was person-centred and based on their choices and preferences and were involved in the decisions about their care. Family members felt included in the care planning process and were kept updated when things changed. Where required, staff supported people to access the community.

Systems that were in place to monitor the quality and safety of the service were mostly effective. However, where checks and audits had been completed on daily communication logs and medicine administration records (MARs), there was a lack of cross-referencing to ensuring information recorded was consistent across records. This was discussed with the registered manager and relevant records amended to address the issue.

People, family members and staff all spoke highly of the service and the person-centred culture promoted by the registered manager. People and family members highly recommended Eclipse Care Solution. One family member told us; "I couldn't speak highly enough of the service. They are amazing."

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

Rating at last inspection

This service was registered with us on 31 May 2019 and this is the first inspection.

Why we inspected

This was a planned inspection based on CQC inspection guidance for newly registered services.

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.