Hart House

Updated 28 April 2023

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 Health and Social Care Act 2008.

Inspection team

This inspection was carried out by one 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

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since registration. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 3 relatives about their experience of the care provided, we were unable to speak to people due to various health conditions meaning phone calls would be difficult for them. We spoke with 5 members of staff including the registered manager and care workers.

We reviewed a range of records. This included 3 people’s care records and multiple medication records. We looked at 3 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.

Updated 28 April 2023

About the service

PRO Nursing Homecare is a domiciliary care agency providing personal care to people in their own homes. The service provides support to people with a range of health and mobility needs. At the time of our inspection there were five people using the service. 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.

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

People were kept safe from the risk of harm and there was an accident and incident process in place to ensure any action required was taken in a timely way. The registered manager followed safe recruitment processes and there were enough staff to meet people’s needs.

People were supported by staff trained in specific areas to meet individual needs. Staff were working well with health professionals which had positive results for people. 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 by kind and caring staff. Staff listened to people and encouraged them to make choices about their care. People were treated with dignity and respect.

People received person-centred care which was individual to their needs. Full assessments were completed prior to packages being accepted to ensure the service and staff could meet the person’s needs. There was a complaints procedure in place to address any concerns raised with staff or the registered manager.

People, relatives and staff felt supported by the registered manager. There was an ‘open door’ policy which had created a positive culture within the service. Relatives and staff told us how they put forward ideas and action was taken. An audit system was in place to ensure the registered manager maintained oversight of the service and a good standard of care was maintained.

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 24 January 2022 and this is the first inspection.

Why we inspected

We inspected this service to ensure they received a formal rating following registration.

Follow up

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