We carried out a review of the data available to us about Superior Homecare Services on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Superior Homecare Services, you can give feedback on this service.
Superior Homecare Services is a domiciliary care agency. It provides personal care to people living in their own homes.
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 this inspection 99 people were receiving support with personal care.
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.
At the time of the inspection, the location provided care and support for 1 person with a learning disability. We assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
People’s experience of using this service and what we found.
Right Support
There were systems and processes in place to safeguard people from potential harm. Staff completed training about safeguarding and knew how to report abuse. Risks to people using the service were assessed and strategies were put in place to reduce the risks. Staff supported people to access health and social care support, which included a regular review of their prescribed medicines.
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.
Effective systems were in place to closely monitor incidents and prompt action was taken to mitigate the risk of repeat incidents.
Right Care
People received care and support that was personalised and provided by a staff team who were well trained and supported. Reviews of people’s care were held regularly to ensure their care was regularly assessed and updated if changes were needed.
People felt well cared for by staff who were kind and considerate. People and relatives told us they had the time they required to communicate with staff and felt listened to. Care was personalised to people’s needs, and staff understood people’s likes and dislikes.
Right culture
Staff placed people’s wishes, needs and rights at the heart of everything they did. The service promoted a culture of inclusion, diversity and equality.
Staff supervision, staff meetings and spot checks were undertaken regularly and used to develop and motivate staff, review their practice, and focus on professional development.
People and those important to them, were involved in planning their care. There was good management oversight of the service. A range of quality assurance audits were in place and were effective at identifying concerns or areas for improvement. Records management was organised which made accessing and reviewing information easier.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was Good (published 14 March 2018)
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Superior Homecare Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing. It provides a service to older adults and younger disabled adults.
Superior Homecare Limited provides care and support to people who wish to remain in their own homes. Services include personal care, meal preparation, hospital discharge and medication support. At the time of our inspection there were 32 people receiving personal care.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission(CQC) 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.
People felt safe. Staff had been provided with safeguarding training to enable them to recognise signs and symptoms of abuse and how to report them. There were risk management plans in place to protect and promote people’s safety. Staffing numbers were appropriate to keep people safe. There were safe recruitment practices in place and these were being followed to ensure staff who were employed were suitable for their role. People’s medicines were managed safely and in line with best practice guidelines.
Systems were in place to ensure that people were protected by the prevention and control of infection. There were arrangements in place for the service to make sure that action was taken and lessons learned when things went wrong, to improve safety across the service
People’s needs and choices were assessed and their care provided in line with best practice that met their diverse needs. Staff received an induction process when they first commenced work at the service. They also received on-going training to ensure they were able to provide care based on current practice when supporting people.
People received enough to eat and drink and staff gave support when required. People were supported to use and access a wide variety of other services and social care professionals. The staff had a good knowledge of other services available to people and we saw these had been involved with supporting people using the service. People were supported to access health appointments when required, including opticians and doctors, to make sure they received continuing healthcare to meet their needs.
Staff demonstrated their understanding of the Mental Capacity Act, 2005 (MCA) and they gained people's consent before providing personal care.
Staff provided care and support in a caring and meaningful way. People were given choices about their day-to-day routines and about how they wanted their care to be delivered. People’s privacy and dignity was maintained at all times.
People were listened to, their views were acknowledged and acted upon and care and support was delivered in the way that people chose and preferred. Records showed that people and their relatives were involved in the care planning process. There was a complaints procedure in place to enable people to raise complaints about the service.
People, relatives and staff were encouraged to provide feedback about the service and it was used to drive improvement. Staff felt well-supported and received one to one supervision that gave them an opportunity to share ideas, and exchange information. The registered manager was aware of their responsibility to report events that occurred within the service to CQC and external agencies.
Superior Homecare Services provides personal care and support to people living in their own homes. At the time of our inspection the service was providing care and support to 20 people. The frequency of visits ranged from one to four visits daily depending on people’s individual needs.
The service has a registered manager. 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.
Staff had been provided with safeguarding training to protect people from abuse and avoidable harm.
There were risk management plans in place to protect and promote people’s safety.
Staffing numbers were appropriate to keep people safe. There were safe recruitment practices followed to ensure staff were suitable to work with people.
People’s medicines were managed safely, in line with best practice guidelines; and staff had been provided with training in the safe handling of medicines.
People were matched with staff who were aware of their care needs; and staff received the appropriate training and support to enable them to carry out their roles and responsibilities.
People’s consent was sought in line with current legislation and guidance. The service worked in line with the principles of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS).
People were supported by staff to have a balanced diet. If needed, staff supported people to access healthcare services.
People were treated with kindness and compassion by staff. They had established positive and caring relationships with them.
People were able to express their views and to be involved in making decisions in relation to their care and support needs.
Staff ensured that people’s privacy and dignity were promoted.
People received care that met their assessed needs. Their care plans were updated on a regular basis, or as and when their care needs changed.
A copy of the service’s complaints procedure was issued to people when they started to receive care. This ensured that people would be aware of how to raise a complaint if the need arose.
The culture at the service was open and inclusive. The registered manager led by example, which inspired staff to deliver a quality service.
There were quality monitoring systems in place. These were used to good effect and to drive continuous improvements.