We carried out a review of the data available to us about Princess Homecare 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 Princess Homecare, you can give feedback on this service.
Princess Homecare is a small domiciliary care service providing personal care to people 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 our inspection there were five people using the service.
People’s experience of using this service and what we found
Risks to people’s safety had been assessed and plans were in place to mitigate risks identified. These plans were kept under review. Systems were in place to make sure people had their medicines as prescribed and any help needed was recorded in their care plans.
Staff understood their responsibilities to safeguard people and knew how to report any concerns. People and their relatives told us they felt safe using this service. There were enough staff available to make sure there were no missed visits. Staff had been recruited safely and received ongoing support from the management team.
Staff tested for COVID-19 when they were working and had plenty of personal protective equipment. Staff had been given guidance on good infection prevention and control safety measures throughout COVID-19. The registered manager kept up to date with changing guidance and cascaded changes to the staff team weekly.
Quality monitoring systems were in place which supported the provider to check quality and safety across the service. People and relatives were able to feedback on care provided in care reviews and with surveys.
Staff worked in partnership with a range of healthcare professionals to make sure people’s health needs were met. The service also had good links with the local authority teams and knew where to go for advice and guidance.
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 4 January 2018).
Why we inspected
This inspection was carried out as part of our inspection schedule.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
We carried out this inspection on 22 November 2017. The provider was given short notice because the location provides a domiciliary care service and we needed to be sure someone would be available to assist with the inspection. This was the agency’s first inspection, since its registration in March 2017. This was because changes had been made to the organisation and a new company was developed.
There was a registered manager in post. They were registered with CQC in March 2017. 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 2008 and associated Regulations about how the service is run. The registered manager was available throughout the inspection.
People felt safe and were very happy with the care they received. They liked the caring nature of staff and said the service was reliable, with no concerns about late or missed calls. People were supported by the same staff who knew them well. This ensured consistency and enabled staff to identify any small changes in the person’s health or overall well-being.
People were supported with meal preparation if required and encouraged to lead healthy lifestyles. They were involved in developing and reviewing their care plan, making decisions and consenting to their care. Their rights to areas such as privacy and dignity were promoted. People were aware of how to make a complaint and felt any concern would be properly investigated.
Whilst people’s medicines were safely managed, there was not clear guidance for staff in relation to those medicines to be taken “as required”. Other risks which impacted on people’s safety had been identified and addressed.
People had detailed care plans in place. All had been rewritten using a new format to ensure sufficient detail was available. Other documentation such as management plans had been developed. People’s care was regularly reviewed and improvements had been made to the information documented within daily records.
There were enough staff to support people effectively. More staff would be recruited as the agency expanded. New care packages were to be accepted on a planned basis in order to build the service slowly and safely.
Improvements had been made to the culture of the service and other systems such as auditing, staff training and support. The registered manager was passionate about learning and development and saw the service as constantly evolving. Other processes such as recruitment were well managed.