Homecare Haven Ltd

Updated 11 October 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 an 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

Homecare Haven Ltd 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 24 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.

Inspection activity started on 19 September 2023 and ended on 28 September 2023. We visited the office on 19 September 2023.

What we did before the inspection

We sought feedback from the local authority and professionals who work with the service. We used this information to plan our inspection.

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

We spoke with the registered manager and the human resource manager. We spoke to 3 support staff. We spoke with 2 people receiving support and 5 relatives. We reviewed 3 people's support records, including medicines administration.

We looked at staff files in relation to recruitment, and a variety of records relating to the management of the service, including policies and procedures. We asked the registered manager to send us documents before and after the on-site inspection. These were provided in a timely manner and this evidence was included as part of our inspection.

Updated 11 October 2023

About the service

Homecare Haven Ltd is a domiciliary care service providing personal care to older people in their own houses and flats in the community. At the time of our inspection there were 20 people using the service. 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 inspection, the service was providing personal care to 15 people.

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

The provider managed medicines safely; however, some processes were not always robust in reducing people's risk. We made recommendations about the safe management of medicines.

People were kept safe from risk and harm. Staff had a good understanding of safeguarding processes. Risk assessments were robust and relevant. Staffing levels were safe and reviewed regularly by managers. Infection prevention and control (IPC) systems were in place to reduce people's risk of infection.

People's needs were assessed and reviewed regularly. People’s health and nutrition needs were supported, and staff were aware of their responsibility to promote people’s rights. People had access to healthcare professionals.

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 family members knew how to make a complaint. They were confident their complaint would be listened to and acted upon quickly. Staff approaches promoted dignity & respect.

The provider was open and honest in its approach to supporting people. They were in regular contact with people receiving support to ensure they obtained feedback on the quality of support provided. Staff knew how to support people to ensure end of life needs were met. The registered manager ensured systems were in place to monitor the running of the service. Staff worked well in partnership with other agencies to deliver effective support.

The registered manager audited support records, including accidents and incidents to assure themselves of quality. Lessons were learned when concerns were raised and these outcomes were communicated to staff.

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 18 October 2022 and this is the first inspection.

Why we inspected

This inspection was a planned inspection based on the date the service was registered.

Recommendations

We have made a recommendation about the management of medicines.

Follow up

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