About the serviceBrookes Home Care Services Ltd is a domiciliary care service which provides personal care and support to people in their own homes. At the time of the inspection there were 42 people using the service. 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
We have made one recommendation regarding recruitment.
There were recruitment procedures, to ensure the right staff were employed and people were protected from harm. However, it was not clear these procedures were consistently followed. It was not clear from records viewed that some references for staff had been verified. The provider took immediate action to update records. People were protected from the risk of harm and abuse. There were effective systems and processes in place to minimise risks. People’s relatives told us people were safe in the presence of care workers.
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 were supported to maintain their independence. People’s relatives told us about how care workers took time to support people to participate as fully as they could.
There were systems in place to ensure proper and safe use of medicines. We observed from records people received their medicines on time.
People received person centred care. Their needs were met through good organisation and delivery. Their assessments showed they had been involved in the assessment process.
Care workers were knowledgeable about people’s needs. They had completed essential training and we saw from records they were up to date with it.
People were protected from the risks associated with poor infection control because the service had processes in place to reduce the risk of infection and cross contamination.
There were governance structures and systems which were regularly reviewed. There was a complaints procedure in place, which people and their relatives were aware of. Quality assurance processes such as audits and spot checks were in place.
There was a process in place to report, monitor and learn from accidents and incidents. Accidents were documented timely in line with the service’s policy and guidance.
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 the service under the previous provider was good, published on 6 May 2020.
Why we inspected
This was a planned inspection based on the previous rating.
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.