Elizabeths Rose Home Care

Updated 16 March 2023

The inspection

We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.

Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and video or phone calls to engage with people using the service and staff.

Inspection team

The inspection team consisted of 1 inspector.

Service and service type

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

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was announced. This was because it is a small service and we needed to be sure that the provider or registered manager would be available to support the inspection.

What we did before the inspection

This inspection was to assess improvements made by the provider in response to their previous inspection. Therefore, we reviewed information we had received on the service and from the service in response to their previous inspection report.

During the inspection

We looked at a range of documents, including; 3 care plans, additional care planning documents for persons with specific dietary needs or support, staff recruitment files and training records. We reviewed staff meeting minutes and governance documents. We spoke to 2 service users and the registered manager.

Updated 16 March 2023

About the service

Elizabeth's Rose Home Care is a domiciliary care service providing personal care to people in their own homes. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. At the time of our inspection the service was supporting 13 people. 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

We found there were established and effective systems in place to ensure people's needs and choices were consistently and fully assessed prior to providing care. Peoples care plans included assessments of risks relating to their clinical conditions and the skills of staff matched the needs of people using the service.

People told us the company valued people and their families. People told us, “I protested at the beginning, but to be honest I couldn’t do anything without them. They are absolutely marvellous.” The staff were positive about their employer and liked working for the service and caring for people. We found 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 “I am extremely happy (with the service), They (the staff) make my day.”

Staff spent the allotted time with people, offering to do extra things for people if they had completed the tasks. People told us, “Every single person (staff member) has asked if there is anything else they can do. Having care was a culture shock but they have been supportive and made it comfortable.” People told us they were treated with kindness and dignity and felt safe with the staff. They appreciated the management oversight provided by the registered manager who checked on them to ensure they were happy with the care they received and would let them know if there were any changes proposed to their care package.

The staff told us they felt valued and appreciated by the management, people and their families. They received regular updates on changes to care plans, policies and procedures and any feedback received.

Rating at last inspection and update:

The last rating for this service was requires improvement (published 27 January 2023) there were no breaches of the regulations. At this inspection we found improvements had been made.

We undertook this focused inspection to confirm they met legal requirements and reflected improvements in care. This report only covers our findings in relation to the Key Questions safe, effective and Well-led.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Elizabeth's Rose Home Care on our website at www.cqc.org.uk.

This was an ‘inspection using remote technology’. This means we did not visit the office location and instead used technology such as electronic file sharing to gather information, and video and phone calls to engage with people using the service as part of this performance review and assessment.

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