Everycare Romford

Updated 25 November 2022

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

The inspection was carried out by one inspector and an Expert by Experience who spoke with people over the telephone following the site visit. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.

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 a registered manager in post.

Notice of inspection

We gave the service 24 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.

What we did before the inspection

We reviewed information we held received about the service. We sought feedback from the local authority and professionals who might work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with three people who used the service and two relatives about their experience of the care provided. We spoke with the registered manager, one director and three carers for the service. We reviewed a range of records. This included four people’s care records. We looked at five staff files in relation to recruitment. We also looked at a variety of records relating to the management of the service.

Updated 25 November 2022

About the service

Everycare Romford is a domiciliary care agency registered to provide personal care. At the time of the inspection, nine people were receiving support with personal care.

People’s experience of using this service and what we found

At our previous inspection we had concerns with how medicines were managed, whether incidents were recorded appropriately and with the provider’s recruitment processes. At this inspection we found medicines were managed safely, lessons were learned from incidents and accidents and recruitment processes were robust.

At the last inspection we found the provider was not completing quality assurance processes satisfactorily. At this inspection we found a marked improvement with regular quality assurance measures in place in including the gathering of feedback from people, staff and other health and social care professionals.

The service sought to keep people safe from abuse. Risks to people were assessed, recorded and monitored. People told us they were happy with staff punctuality. Infection prevention and control measures were in places.

People’s needs were assessed to ensure the service was effective for them. Staff received inductions, were trained and provided with supervision. People were supported to eat and drink where required. Staff worked with other health and social care professionals to provide people with effective care. 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. People’s consent was sought when care was provided, and they were given appropriate choices by staff.

People and relatives told us staff were caring. People’s equality and diversity characteristics were respected as was their privacy and dignity. People and relatives were able to express their views about the care provided. People were encouraged to be independent.

People received person centred care, with their needs recorded and reviewed through regular care planning. People’s communication needs were met by staff and their communication needs and preferences recorded in care plans. People were supported with activities they wanted to do. People and relatives were able to complain, and the service responded to complaints appropriately.

Staff and management knew their job roles and responsibilities. Staff were able to engage with the registered manager through regular meetings or supervision. The service worked in partnership with other organisations to benefit people using 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

The last rating for this service was requires improvement (published 03 April 2020) and there were breaches of regulation and a recommendation around supervision of staff. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations and had acted on the recommendation.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.