Adore Home Care Limited

Updated 22 December 2018

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.

This comprehensive inspection took place on 26 and 27 November 2018 and was announced. The provider was given 48 hours' notice because the location provides a domiciliary care service and we needed to be sure that someone was available in the office. The inspection was undertaken by one adult care inspector.

Before the inspection, the provider completed a 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.

In preparation for our visit, we looked at previous inspection reports, notifications (events which happened in the service that the provider is required to tell us about) and information that had been sent to us by other agencies, including the local authority’s contract monitoring team.

During the inspection, we spoke with seven people using the service, two relatives and four staff over the telephone. We also spoke with the registered manager at the agency’s office.

We reviewed a range of records about people’s care and the way the service was managed. These included the care records for three people using the service, medicine administration records, staff training records, two staff recruitment files, staff supervision and appraisal records, minutes from meetings, quality assurance audits, incident and accident reports, complaints and compliments records and records relating to the management of the service. We also looked at a sample of policies and procedures and the most recent customer satisfaction questionnaires completed by people using the service.

Updated 22 December 2018

We carried out an announced inspection of Adore Home Care Limited on 26 and 27 November 2018.

This service is a domiciliary care agency. It provides personal care to people living in their own houses. At the time of the inspection, 21 people were receiving a service from the agency with a range of health and social care needs. Support was tailored according to people's assessed needs within the context of people's individual preferences and lifestyles to help people to live and maintain independent lives and remain in their homes.

At the last inspection, in June 2016 the service was rated overall as ‘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 ongoing 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.

People felt safe with the care provided and with the staff who supported them. Risk assessments were undertaken to help people to live safely. The process for staff recruitment was well managed and appropriate checks were carried out to help ensure only suitable staff were employed to work at the service. There were enough staff to meet people's needs and the provider made sure they had the resources and capacity to deliver the support people required. People received their medicines when they needed them from staff who had been trained and had their competency checked.

People were supported by regular staff who were appropriately trained and supervised in their roles. Management monitored and observed staff practice to ensure people received their agreed care and support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. An assessment was carried out to assess people’s needs and preferences prior to them receiving a service. This meant that care outcomes were planned and staff understood what support each person required. People were supported with their healthcare and nutritional needs as appropriate.

Staff were caring and attentive, and knew the people they cared for. People felt that care staff respected their privacy and dignity and helped them to remain as independent as they could. People had access to a complaints procedure and knew how they could raise any concerns.

Quality assurance and information governance systems remained in place to monitor the quality and safety of the service. People and relatives spoken with, told us that they were satisfied with the service provided and the way it was managed.