Churchill Health Care (Ealing)

Updated 3 August 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 was carried out by 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

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 not a registered manager in post. The provider had recruited a manager. They had not yet applied to be registered with CQC but were in the process of doing this.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because we were carrying out an inspection using remote technologies and electronic file sharing.

Inspection activity started on 20 June 2023 when we started to make phone calls to stakeholders and ended on 24 July 2023 when we had a video meeting with the manager to discuss our findings.

What we did before the inspection

We looked at all the information we held about the provider including notifications of significant events. 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.

During the inspection

This performance review and assessment was carried out without a visit to the location’s office. We used technology such as video and telephone calls to enable us to engage with people using the service and staff, and electronic file sharing to enable us to review documentation.

We analysed data from the provider's call monitoring systems. We viewed the care records for 6 people who used the service, the staff records (including training, recruitment and support) for 6 members of staff and other records used by the provider for managing the service.

We held a video meeting with the manager. We spoke with 9 people who used the service and the relatives of 6 other people. We received written feedback from 19 people using the service and their relatives and 7 members of staff.

Updated 3 August 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Churchill Health Care (Ealing) is a domiciliary care agency providing personal care and support to people living in their own homes. The branch is also known as Churchill Health Care (Hayes). The service is registered to offer support to older and younger adults, adults with learning disabilities, and people with mental health needs.

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, 27 people were receiving support with personal care. Most were older adults and 3 people had a learning disability.

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

The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.

Right Support: The staff supported people to have the maximum possible choice, control and independence. Staff focused on people's strengths. The service made reasonable adjustments for people so they could be fully involved in decisions about their care. Staff communicated clearly with people. Staff supported people with their medicines.

Right Care: Staff promoted equality and diversity in their support for people. They understood people's cultural needs and provided culturally appropriate care. People received kind and compassionate care. Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse.

Right culture: The values of the organisation, management and staff helped people to feel included and empowered. People and those who were important to them were involved in planning their care. The managers evaluated and monitored the care and support people received to make sure improvements were made when needed.

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

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

The service was registered on 25 April 2022 and this was the first inspection.

Why we inspected

The inspection was carried out based on the date the service registered with us.

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.

Follow up

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