About the service:Esteemed Life Ltd is a domiciliary care agency providing personal care and support to older people and younger adults in their own homes. Some of these people were living with dementia. 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 our inspection, 19 people were receiving personal care.
People's experience of using this service:
People told us they were safe. People were kept safe by staff who had been trained to meet people's needs. The registered manager and staff knew their responsibilities in relation to keeping people safe from the risk of abuse. Care plans contained detailed risk assessments and risk to people's health and wellbeing were addressed and
mitigated. Environmental risk assessments were also in place, which identified and reduced any
environmental risks to people and staff.
Robust recruitment processes continued to be in place. This prevented unsuitable staff from being employed. People told us staff were reliable and consistent. Staff were skilled in carrying out their role. The registered manager ensured staff were appropriately trained.
People told us they felt at ease with staff. People were cared for by staff who treated them with kindness, dignity and respect. Staff were committed to providing person centred care and respected people's individual preferences.
People's needs were assessed prior to receiving a service including their protected characteristics under the Equalities Act 2010. 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.
The service had a manager registered with the Care Quality Commission. The service had an effective system in place to assess, monitor and improve the quality and safety of the services provided. Staff told us there was an open culture where they were kept informed about any changes to their role. Staff and people told us the manager was approachable and listened to their ideas and suggestions.
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 09 August 2017).
Why we inspected:
This was a planned comprehensive inspection based on the previous rating.
Follow up:
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.