We carried out a review of the data available to us about Amore Home Care 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 Amore Home Care, you can give feedback on this service.
Amore Home Care is a domiciliary care agency that provides support to people in their own homes. It provides a service to younger and older adults, people with physical disabilities, sensory impairments and dementia. The provider has one domiciliary care agency within their registration. The service's office is based in Eccles, and support is provided to people in surrounding areas. At the time of the inspection, it was providing a service to seven people.
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.
People’s experience of using this service and what we found
People were protected from the risks of abuse and harm and people said they trusted staff to keep them safe. People's care needs were risk assessed and care plans provided staff with the information they needed to manage the identified risk. Medicines were managed safely. Staff had to undertake training before they could administer medicines and received regular competency checks to ensure they administered medicines safely. Staff received training in infection prevention and control and told us personal protective equipment (PPE) was readily available to them. Recruitment checks were robust to ensure staff were suitable to work with vulnerable adults. Safe staffing levels were in place and people received care visits from regular staff.
Systems were in place to monitor the standard of care for people and the effectiveness of the service. Policies and records had been updated in line with best practice and were regularly reviewed. Person-centred care was promoted, and people told us the staff knew them well and responded to their needs in a person-centred way. People and their relatives’ views had been sought through regular contact, surveys and quality monitoring. Staff felt valued and supported by the management team. The registered manager worked effectively in partnership with health and social care professionals to achieve better outcomes for 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 and update
The last rating for this service was requires improvement (published 30 September 2019). 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
We carried out an announced comprehensive inspection of this service on 9 September 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe and well-led, which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Amore Home Care on our website at www.cqc.org.uk.
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.
This service is a domiciliary care agency that provides support to people in their own homes. It provides a service to younger and older adults, people with physical disabilities, sensory impairments or dementia. The provider has one domiciliary care agency within their registration. The service's office is based in Eccles, and support is provided to people in surrounding areas. At the time of the inspection it was providing a service to four people, who were all receiving personal care.
People’s experience of using this service and what we found
The provider had ineffective governance arrangements and failed to maintain accurate complete and contemporaneous records. We reviewed a range of records and found improvement was required with record keeping. There were no documented audit systems in place to monitor the standard of care for people and the effectiveness of the service. The provider did not have a business continuity plan in place. This meant there were no assurances the service could continue during a time of emergency or disaster.
Assessments of the risks to the health and safety of people receiving care were not being carried out thoroughly. Moving and handling risk assessments were not robust to show how risks identified were mitigated.
The service did not routinely provide end of life care; however, people did not have the option to disclose and record their end of life wishes as part of their care planning. We have made a recommendation about giving people the option to make their end of life wishes known.
People and their relatives’ views had been sought through regular contact, surveys and quality monitoring.
Staff worked with other agencies to provide consistent, effective, timely care. People told us they had regular support workers for their visits and the staff arrived on time.
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 told us staff were kind, courteous and sensitive. One person said, “The carers are very kind”. Relatives also spoke positively about the staff. One relative commented, “The carers have a really good laugh and joke with [name of person].”
People told us they felt safe. Staff had a good understanding of how to safeguard people from abuse.
Staff we spoke with felt valued and supported by the management team. They were clear about the culture of the organisation and what was expected from them.
The service did not meet the characteristics of Good in all areas.
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 27 September 2018 and this is the first inspection.
Why we inspected
This was a planned inspection of the service since it was newly registered in July 2018.
Enforcement
We have identified two breaches in relation to regulation 12 (Safe care and treatment) and regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Adequate moving and handling risk assessments were not in place and the governance systems used did not provide effective oversight and monitoring of the service.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.