We carried out a review of the data available to us about Global Excellence Services 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 Global Excellence Services Limited, you can give feedback on this service.
Global Excellence Services Ltd is a Domiciliary Care Agency providing personal care in people’s own homes. At the time of the inspection there were five people who were receiving 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 had risk assessments in place which were known by staff and people told us they felt safe whilst being supported by staff. Systems and processes for safeguarding and whistleblowing were in place and understood by staff. We found sufficient staff on duty to meet the needs and preferences of people. People’s medicines were safely managed, and they received their prescribed medicines in a timely and supportive way. Government guidance for infection control was being followed.
People's needs were assessed, and they had choice in their daily lives. Staff received an induction and training specific to the needs of people.
There were clear roles which were understood by registered manager and the staff team. There was oversight of care and support in place for people to express their views and be involved in the care they received.
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.
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 requires improvement (published 28 February 2020). 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.
Why we inspected
This inspection was prompted by a review of the information we held about this service. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Global Excellence Services Ltd is a Domiciliary Care Agency providing personal care in people’s own homes. At the time of the inspection there were two people who were receiving 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
Systems to monitor the quality and safety of the service had not always been effective at identifying where the registered provider needed to make improvements. For example, care records and risk assessments did not detail how risks would be managed effectively. These records were updated following our visit and evidence provided to us.
People told us they were assured staff would arrive on time for calls and told us calls had never been missed.
People were supported by staff who knew them and their needs well. There were sufficient staff members employed by the service to support service users.
We saw staff have received training in line with the needs of people using the service and have completed the care certificate.
We were told by family members that that their relatives had a good relationship with the staff and they felt safe and cared for.
People told us the service was flexible around their needs and wishes and call times were adjusted to suit their daily lives.
We saw from care records and by talking to families, people were supported to remain independent when possible.
The provider and staff could tell us how of the Mental Capacity Act 2005 (MCA) was applied to supporting people using the service and how to keep them safe.
We saw people were supported to have maximum choice and control of their lives and staff supported them in their best interests; the policies and systems in the service supported this practice.
Information about the service was not provided in different formats to suit individual needs. For those who may have sight impairment or a learning disability information was not available in a format to suit their communication needs.
We saw staff had not received end of life training. There were no care plans in place to guide staff on action to take in the event of deteriorating health or death of a service user.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 09/02/2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on the registration.