We carried out a review of the data available to us about New Horizon Homecare Limited 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 New Horizon Homecare Limited, you can give feedback on this service.
New Horizons Homecare Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats. At the time of the inspection it provides a service for eleven people. The Care Quality Commission (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.
People's experience of using this service and what we found:
People and their relatives told us they felt safe and were protected from the risk of abuse. The service had safeguarding procedures in place that staff received regular training about. Staff knew how to safeguard people from abuse and the processes that should be followed where concerns arose. Risk assessments and risk management strategies were in place as part of the assessment and support planning process. This meant risks to people and to staff were minimised.
There were robust recruitment practices in place and sufficient staff levels to meet people's needs.
The registered manager told us at the time of this inspection staff did not administer medicines to anybody. People’s relatives undertook the responsibility for this. However, we saw evidence all staff had received appropriate training on the safe administration of medicines. This together with appropriate supervision and monitoring meant when required people received their medicines safely and staff had clear guidance to follow.
The provider ensured that all their staff received appropriate training and support to understand and to manage COVID-19. This included best practice for infection control and the use of PPE. The provider made appropriate support services available to staff in order to support their mental wellbeing through the pandemic and if they became unwell and when they returned to work.
There were systems in place to ensure that accidents, incidents and risks were appropriately recorded and included details of preventive strategies used by the service to reduce the likelihood of events occurring in the future.
Assessments were thorough and expected outcomes were identified. Support plans were reviewed and updated as people’s needs changed. People were supported by staff who knew them well and were able to identify people’s likes and dislikes. They were supported to eat and drink according to their dietary requirements taking into consideration people’s preferences.
Staff received comprehensive training in all the necessary areas of their work. Staff had regular supervision and they told us they felt supported.
People told us they were treated with dignity and respect. This was echoed by people’s relatives. They told us staff had the right skills to deliver appropriate care and support. Staff were able to communicate with people well. Information was provided in various formats where required.
People and their relatives were confident that any concerns would be addressed appropriately and resolved by the registered manager. They told us the registered manager welcomed feedback and they said complaints were dealt with swiftly and professionally.
People told us they thought the service was well led and that they were very happy with the support they received.
There were effective systems in place to monitor the quality of the service provided to people which ensured good governance. Technology was used effectively by the provider to ensure people were informed promptly about potentially missed or late calls. The service had systems in place to notify the appropriate authorities where concerns were identified. The culture of the service was positive, open and person centred.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update:
The last rating for this service was good [published 19 July 2019].
Why we inspected:
This inspection was prompted by a review of the information we held about this service.
Follow up:
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
New Horizon is a domiciliary care agency. It provides personal care to people living in their own houses and flats. At the present time it provides a service for five people. Not everyone using the service receives 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.
People’s experience of using this service and what we found:
People and relatives said they were happy with the service and support they received. Comments included, “The carers are very good indeed, they know what help I need and they ask me on the day if there is anything else I would like support with,” “Staff come on time and they do a good job,” “We are really very happy with the service we get. Staff seem to be very committed to their work,” and “I am happy with it.”
There were appropriate safeguarding processes in place to safeguard people from harm that included a comprehensive risk assessment for people and staff.
There were appropriate numbers of staff to meet people's needs and safe recruitment practices were in place.
The provider had appropriate policies and procedures in place to support people safely with medicines if required.
The registered manager and staff had relevant health and social care qualifications and completed training to ensure they were able to meet people’s needs effectively. Support was provided appropriately for staff with regards to their professional roles.
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.
Records showed people were supported to have their health needs met, with access to health professionals as required.
The registered manager and staff spoke about the people they supported with care and kindness. Assessments and care plans included details of their preferences and wishes for care and support. People told us they were fully involved in the assessment and care planning process.
There was sufficient detail and personalisation in the care plan to ensure the person's needs were met in a personalised way.
The provider had systems in place to ensure concerns and complaints were responded to in an appropriate way.
The provider had systems and processes in place to monitor the quality and safety of the service.
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 first inspection of this service on 4 October 2018 [report published on 16 October 2018] the provider only had one person who was using the service. As a result, there was insufficient evidence to be able to rate the service.
Why we inspected:
This was a planned inspection in line with our inspection schedule. We found the service met the characteristics of a "Good" rating in all areas.
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.
The service was registered with the Care Quality Commission on 5 January 2017. This was their first comprehensive inspection since registration.
A registered manager was in post. 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.
There were appropriate safeguarding processes in place to safeguard people from harm that included a comprehensive risk assessment for people and staff.
There were sufficient staff to meet people's needs and safe recruitment practices were in place.
The person receiving the service did not need support with their medicines as this was provided by their relative. The provider did however have appropriate policies and procedures in place to support people safely with medicines if required.
The registered manager and staff had relevant health and social care qualifications and completed training to ensure they were able to meet people’s needs effectively. Support was provided appropriately for staff with regards to their professional roles.
Records showed appropriate consent had been sought in line with legislation and guidance.
Records showed the person was supported to have their health needs met, with access to health professionals as required.
The person and their relative told us the relationship between them and the provider was good. They both told us the relationship was a very caring one that they valued highly.
The registered manager and staff spoke about the person they supported with care and kindness. Assessments and care plans included details of their preferences and wishes for care and support.
The person's relative told us they were fully involved in the assessment and care planning process.There was sufficient detail and personalisation in the care plan to ensure the person's needs were met in a personalised way.
The provider had systems in place to ensure concerns and complaints were responded to in an appropriate way.
The provider had systems and processes in place to monitor the quality and safety of the service.
Due to the service currently only supporting one person we were unable to rate the service because there was insufficient evidence available for us to do so. The registered manager told us they were hoping to expand the service and provide support to more people which may enable us to rate the service at the next inspection.