Hands In Harmony Home Care Services Limited

Hands In Harmony Home Care Services Limited is a Domiciliary care service providing personal care to people in their own homes. At the time of our inspection there were 76 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 told us they were safely supported within the service. Systems and processes were in place to support people’s safety. Recruitment procedures ensured that people were only supported by staff who were suitable to do so. There were sufficient staff to meet people’s needs.

People received the support they required with their medicines. Staff worked consistently within the providers policy and procedure for infection prevention and control.

The management team ensure that checks and audits were in place and used effectively to drive improvements. Staff were supported through ongoing monitoring and good communication. Information was shared with staff to support in the delivery of good quality care.

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.

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

Rating at last inspection

The last rating for this service was good (published 9 December 2017).

Follow up

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

At the last inspection in September 2015 the service was rated Good.

At this inspection we found the service remained Good.

There was a registered manager in post.

Staff had an understanding of abuse and the safeguarding procedures that should be followed to report abuse. Risk assessments were in place to manage risk within a person’s life.

The staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service. Adequate staffing levels were in place.

Staff induction training and on-going training was provided to ensure they had the skills, knowledge and support they needed to perform their roles.

Staff were well supported by the registered manager and senior team, and had regular one to one

supervisions.

People's consent was gained before any care was provided.

Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes.

People were involved in their own care planning and were able to contribute to the way in which they were supported.

The provider had systems in place to monitor the quality of the service and had a process in place which ensured people could raise any complaints or concerns.

The service notified the Care Quality Commission of certain events and incidents, as required.

A breach of legal requirement was found. After the comprehensive inspection, the registered person wrote to us to say what they would do to meet the legal requirement relating to Regulation 18 of the Care Quality Commission (Registration) Regulations 2009. This was to ensure that notifiable incidents relating to people’s safety and well-being would be submitted to the Care Quality Commission.

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to that requirement. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Everycare (MK& Beds) Limited on our website at www.cqc.org.uk

Everycare (MK & Beds) Limited provides personal care and support to people with a range of care needs in their own homes. The frequency of visits consisted of one visit per week to four visits per day, depending on people’s individual needs. On the day of the inspection 93 people were receiving care and support.

The service did not have a registered manager, but a manager was in place who was going through the registration process. 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 and associated Regulations about how the service is run.

During this inspection, we found that the provider was now ensuring that notifiable incidents relating to people’s safety and well-being were reported to the Care Quality Commission in line with their registration requirements.

While improvements had been made we have not revised the rating for this domain. To improve the rating to ‘Good’ would require consistent good practice over a longer time period. We will review our rating for well-led at the next comprehensive inspection.