This announced inspection of Homebird Care Ltd took place on 25 October 2016. Homebird care Ltd is a domiciliary care service, which delivers personal care to people in their own homes as part of a supported living model, particularly specialising in supporting people living with mental health conditions. The registered office is situated in Aigburth, Liverpool.
At the time of our inspection 14 people were receiving services based across five houses and the service employed 30 staff.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People who used the service told us they felt safe because they knew the staff and managers well.
Staff were able to describe what action they would take if they felt someone was being abused or disclosed abuse to them. The people using the service told us they could approach the managers of the service if they felt they needed to discuss any safeguarding concerns.
People told us and rotas evidenced that there was enough staff on duty and employed by the service to be able to keep people safe. The service had an electronic rota system which ‘logged’ staff in when they came on shift.
Risk assessments were detailed and referenced specific areas of risk complete with management plans to help the staff to support that person.
People received their medicines as prescribed and safe practices had been followed in the administration and recording of medicines.
Staff were supervised regularly and had an annual appraisal. Staff training was in date and covered a wide range of topics in accordance with the provider’s training policy. We saw that new staff were inducted appropriately and inductions were in line with The Care Certificate.
Staff were recruited safely and checks were carried out on staff before they started work at the service to ensure they were suitable to work with vulnerable people.
The registered manager and staff we spoke with were aware of their roles in relation to the Mental Capacity Act 2005 and associated legislation.
Consent was well documented in people’s care plans for individual tasks and this was signed by the people themselves.
People had access to medical professionals such as GP’s, CPN’s opticians and chiropodists when they needed them. Staff had recorded the outcomes of these visits in people’s care plans.
People were supported to do their weekly shopping and staff ensured people had balanced meals and ate a varied diet.
Staff were able to demonstrate that they knew people well, and people were complimentary about the staff team.
Staff and people using the service were able to give examples of how people’s diversity and choices were respected.
Care plans contained person centred information about the individual.
There was a complaints procedure in place, and people told us they would have no problem raising a complaint if they needed to. There were no complaints to view.
People and staff were complimentary about the registered manger and the provider in general, and said they would recommend working for the company.
Staff were aware of the provider’s whistleblowing policy and told us they would not hesitate to report any concerns or bad practice.
Systems were in place to monitor the standard of the service and drive forward improvements. This included a number of audits for different areas such as health and safety, medication, care planning and training. There were clear and transparent action plans when the audit process identified areas of improvement.