Open Doors Healthcare Services Ltd

Open Doors Healthcare Services Ltd is a domiciliary care service providing personal care and support for people in their own homes. The service provides support to older people and younger adults with a range of needs including dementia, physical disabilities and sensory impairments and people who need end of life care. At the time of the inspection, there were 14 people using the service.

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

Some risks to people had not been assessed and some records were not well personalised. The provider’s quality assurance systems had not identified these shortfalls. We did not find that this had a negative impact on the care people received, but we have identified these as areas of practice that need to improve.

People were supported by staff who had suitable skills to meet their needs. People were protected from risks of abuse and told us they felt safe. People were receiving their medicines safely and staff followed safe procedures for the prevention and control of infection.

People and their relatives were receiving a person-centred service and they spoke highly of the care and support they received. One person said, “The carers are wonderful, very happy, and jolly and willing to do anything they can to make me feel more comfortable.”

Staff had received the training and support they needed to be effective in their roles. People’s diverse needs were assessed in a holistic way and staff worked with other services to ensure their health and welfare needs were met. Staff had enough time to spend with people, including those who needed support with eating and drinking.

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 their relatives had developed positive relationships with staff who knew them well. One person said,“I have built up an excellent rapport with the carers.” Some people were receiving end of life care, staff were responsive to changes in their needs. Staff were described as kind, caring and compassionate. Relatives told us they were also supported by the staff.

The provider had systems in place to learn from mistakes and support continuous improvement. People knew how to complain and were confident that concerns would be acted upon.

Staff worked in partnership with other agencies and supported people to be involved and engaged with their care. Feedback we received about the registered manager and the service was consistently positive. A relative told us, “The service is really good. I can’t think of anything that needs improving.”

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 4 October 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.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.