Background to this inspection
Updated
23 September 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
The inspection was completed by two inspectors and two experts by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with CQC. A registered manager along with 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 24 hours’ notice of the inspection. This was because the service is small and people are often out, and we wanted to be sure there would be people at home to speak with us.
Inspection activity started on 24 June and ended on 2 July 2021. One inspector visited the office on 25 June 2021. The other days of inspection were used making calls to the registered manager, staff, people using the service and their relatives and reviewing information provided as part of the inspection process.
What we did before the inspection
We reviewed information we had received about the service and sought feedback from the local authority and professionals who work with the service.
The provider was not asked to complete a provider information return before 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.
We used all of this information to plan our inspection.
During the inspection-
We spoke with 11 people who used the service and 19 relatives about their experience of the care provided. We spoke with 11 members of staff including the nominated individual, registered manager, recruiter, senior care giver and care givers. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at four 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 reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
23 September 2021
About the service
Home Instead Beverley and Hull is a domiciliary agency that supports people to live in their own homes. The service was supporting 35 people at the time of our inspection.
Not everyone who used the service received personal care. The Care Quality Commission 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
People received consistent and safe care from core teams of staff that met their individual needs. There were enough staff with appropriate skills to safely support each person. One person told us, “I have regular carers and I prefer it that way.”
Care and support was tailored to meet people’s needs and staff knew people well. Staff were respectful and supported people in a way that maintained their privacy and dignity.
Staff rota’s were effectively managed and provided continuity of care at a time and duration that met people's needs. The minimum time spent on a call was an hour.
People’s needs were met through assessment and person-centred care planning. The service worked with people and their relatives, health and social care professionals to achieve positive outcomes for people.
COVID-19 risks were assessed and managed.
Robust systems were in place to safely manage people’s medicines. Audits were completed regularly to monitor, identify and address any issues found.
People and their relatives praised the kind and caring staff and the quality of care provided. This meant people were supported to achieve good outcomes.
The provider had robust systems in place to ensure staff were recruited safely and were suitably trained and competent. Staff knew about safeguarding procedures. Feedback about the training and support for staff was positive.
Processes to assess and check the quality and safety of the service were completed. The registered manager and nominated individual carried out audits and completed a quality monitoring report. These identified areas of the service that could be further improved and the actions completed.
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.
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 2 April 2020 and this is the first inspection.
Why we inspected
This was a planned comprehensive inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all domiciliary care providers inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
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.