HAIL - Domiciliary Care Service

Updated 11 May 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

This inspection was carried out by 1 inspector.

Service and Service Type

HAIL- Domiciliary Care Service is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides personal care to people living in their own houses and flats in the community and to people living in 'supported living' settings. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal care and support.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was not a registered manager in post. However, we did receive an application before our inspection from the new manager to become the registered manager for the service.

Notice of inspection

The provider was given 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 15 March 2023 and ended on 17 April 2023.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

During the inspection

We spoke with the manager. We reviewed a range of records. This included 6 people's care plans, risk assessments, recruitment records, quality audits, daily records, and training records. We spoke with 4 people and 3 relatives and 4 care staff.

We reviewed a variety of records relating to the management of the service, including policies and procedures, staffing rotas, accident and incident records and safeguarding records. We completed a tour of the building and we looked at medicines' management and food safety.

We also visited people’s supported living accommodation.

Updated 11 May 2023

About the service

HAIL- Domiciliary Care Service provides support to adults who have a learning disability. At the time of the inspection 8 people were receiving personal care. This was based in the areas of Haringey, were the provider we're supporting 3 people that lived in their own flats, and 2 supported living services. The Care Quality Commission 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

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Support:

There were appropriate staffing levels to meet people's needs and the provider carried out recruitment checks to ensure that staff were recruited safely. The service took steps to help prevent the spread of infections. Medicines were managed in a safe way. People who used the service 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.

Right Care:

People told us they were treated with kindness and their privacy was respected by staff. People felt supported to express their views and were involved in making decisions about their support with help from their families. People's support plans were detailed and person-centred .

Right Culture:

People's relative's spoke positively about the management team and staff. The service carried out a range of audits to ensure a good quality service was provided. Staff understood people’s needs well. This enabled people to receive compassionate and empowering care that was tailored to their individual support needs. Staff knew and understood people well.

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 we rated this service good (published 07 March 2018)

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Recommendations

We have made 2 recommendations in relation to the provider sending feedback questionnaires to people and relatives and ensuring that statutory notifications are completed and sent to CQC.

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.