Eveshel Care Limited

Updated 18 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 was planned to check whether the provider was 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.

The inspection was carried out on 1 November 2018 and was announced. We announced our inspection 48 hours beforehand, because we wanted to be certain that someone would be available to support us. The inspection was undertaken by one inspector.

Before the inspection, we reviewed relevant information that we had about the provider including any notifications of safeguarding or incidents affecting the safety and wellbeing of people. A notification is information about important events which the provider is required to tell us about by law. We sought feedback from health and social professionals. We also received a Provider Information Return (PIR) from the service. A PIR is a form that asks the provider to give some key information about the service, what it does well and any improvements they plan to make. We spoke with six relatives of people who used the service and five care staff. We were unable to speak to people who used the service due to their communication and support needs.

During the inspection we reviewed documents and records that related to people’s care and the management of the service. We reviewed two people’s care plans and two staff files. We looked at other documents such as medicine, training and supervision records. We also spoke with the nominated individual, the business consultant and the administrator.

Updated 18 December 2018

We carried out an announced inspection of Eveshel Care Limited on 1 November 2018. Eveshel Care Limited is registered to provide personal care to people in their own homes. The Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’; 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, the service provided personal care to nine people in their homes.

The service had 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 legal requirements in the Health and Social Care Act 2008 and the associated regulations on how the service is run. At the time of the inspection the registered manager was not available.

At our last inspection on 12 January 2017 the service was rated ‘Good’ overall. We identified one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The service did not ensure that the care and support provided to people always reflected and met their needs and preferences. During this inspection we found that this previous breach had been addressed.

Staff did not always arrive on time to see people and the system in place to monitor time keeping was not always effective. We recommended the service review procedures to ensure the risk of missed visits or late calls were minimised.

Staff knew how to keep people safe from harm and how to report concerns of potential abuse. Detailed risk assessments were in place that guided staff to provide safe care and support and reduce the risk of harm. Staff were recruited in a safe manner and line with the provider’s recruitment policy, which meant we were assured staff were suitable to carry out their role. People were supported to receive medicines in line with best practice and the service ensured all staff had medicines training. People and staff were protected from the risk infection.

Staff were supported through a detailed induction and had access to ongoing training, as well as regular supervisions and an annual appraisal to ensure they could provide care in line with best practice guidance. Information was used from the local authority to ensure the service could offer the right support to people. The service worked in line with the principles of the Mental Capacity Act (2005) and staff gained consent from people before providing any care or support. People were supported to keep hydrated and have a well-balanced diet. People received support from other health and social care professionals to ensure they had a healthy lifestyle.

Relatives told us staff were kind, caring and friendly. The service involved people and their relatives in reviewing individual care plans. Staff understood how to support people in a manner that ensured people were protected from discrimination. Relatives told us that people’s privacy and dignity was maintained and staff promoted a sense of independence for all people.

Relatives told us staff knew people well and provided care that was person-centred. Each person had an individual care plan; these care plans were up to date and reflected people's support needs. Relatives told us they felt comfortable raising any issues they might have about the service and there were arrangements in place to deal with complaints. The service supported people with their end of life wishes.

People, relatives and staff felt well supported by the management team and felt the service delivered high quality support. The provider sought feedback from people and their relatives. The serviced worked positively with other health and social care professionals to ensure people received a person-centred care and support package. The quality assurance systems in place ensured staff were monitored and supported to develop to provide the best support to people.