Home-Care Perfection - Main Office

Home-Care Perfection is a domiciliary care service that provides care and support for people in their own homes. 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 the service was supporting 6 people with personal care.

People’s experience of using this service and what we found

Medicines were not managed safely. Specific risk assessments were not in place increasing potential risk to people. The service did not have an effective audit system in place to monitor the quality of the service. Lessons learnt were not evident due to the lack of auditing of systems and processes. We made a recommendation for the provider to review their systems and processes.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

Staff followed good infection control practices, including wearing personal protective equipment when supporting people. Staff received feedback about the quality of care and support they provided. Safe recruitment processes were followed.

People received a detailed pre assessment before the service agreed to proceed with the care package ensuring they could meet people’s needs. People told us they received care from consistent and regular staff members. Staff received a thorough induction and had support and training which provided them with the necessary knowledge to meet people’s needs.

Staff knew people well and relatives reported staff were caring, compassionate and patient with people. People were treated with dignity and respect and had their privacy and independence promoted.

Care plans were person centred and detailed with people’s histories. People and relatives were complimentary about the care provided by the service.

The registered manager was approachable, and people, relatives and staff spoke highly of the management at the service.

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 13 August 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service. We have found evidence the provider needs to make improvements. Please see the safe, effective and well led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement and Recommendations

We have identified breaches in relation to medicine management, management of risks, best interest decisions and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.