Abhi Rose Homecare

Updated 11 April 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

One adult social care inspector and an assistant adult social care inspector conducted the inspection.

Service and service type:

Abhi Rose Homecare is a domiciliary care agency that provides personal care and support to people living in their own houses and flats

The service had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We gave the service 24 hours’ notice of the inspection site visit because we needed to be sure the registered manager and staff would be available.

Our inspection site visit activity started on 18 February 2019 and ended on 7 March 2019. We visited the office location on 18 February 2019 to see the registered manager and office staff and to review care records, policies and procedures.

What we did when preparing and carrying out the inspection:

Before the inspection we reviewed information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed all other information sent to us from stakeholders such as the local authority and clinical commissioning groups.

On 18 February 2019, we reviewed a range of documentation including three people’s care records, medication administration records, three staff recruitment files, staff training records and other records relating to the running and audit of the service. We also spoke with four members of care staff, the registered manager and provider.

On 4 March 2019, we spoke on the telephone with two people who used the service and two relatives of people who used the service. On 7 March 2019, we spoke with one person who used the service.

Following our inspection, the provider and registered manager sent us additional evidence and information which we reviewed and used as part of our inspection judgement.

Updated 11 April 2019

About the service:

Abhi Rose Homecare is a domiciliary care agency that provides personal care for adults living in their own homes in the community. People who use this service have a wide range of needs including older people who are living with a diagnosis of dementia, mental health needs, learning disabilities and physical disabilities. CQC only inspects the service being received by people provided with personal care. At the time of our inspection 40 people were receiving support from this provider.

People’s experience of using this service:

• We have made a recommendation about quality monitoring.

• People told us they felt safe with the staff who supported them. Staff understood their role and responsibility to keep people safe from harm.

• Medicine management was safe. Staff received training and their competency was checked before they could administer medicines.

• Safe recruitment processes and procedures were in place. Employment checks were completed before staff started working in the service.

• People using the service spoke fondly and with regard of the staff who provided their support and the office team, registered manager and provider. People told us staff treated them with dignity and respect and were kind and caring.

• Staff knew what to do to keep people safe. Individual risks had been assessed and identified as part of the support and care planning process.

• People were supported by staff who were motivated, enjoyed their job and felt well supported through regular supervisions assessments of their competency and training.

• Staff worked closely with a range of community healthcare professionals to make sure people’s health needs were met.

• People, their relatives and staff could approach the management team if they had any concerns. The provider had a complaints procedure in place which explained how people could raise concerns. The service had acted appropriately when any concerns and complaints had been made.

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

Rating at last inspection:

At the last inspection the service was rated requires improvement (report published 5 February 2018).

The service had improved overall since our last inspection from a requirements improvement service to one that was good overall. The service met the characteristics of good in four out of five domains and requires improvement in one domain.

Why we inspected:

This was a planned inspection based on the rating at the last inspection. We saw improvements had been made since our last inspection and the provider was no longer in breach of the regulation relating to good governance.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.