Background to this inspection
Updated
2 July 2019
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
We gave the service 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 11 June 2019 and ended on 12 June 2019. We visited the office location on 11 June 2019.
What we did before the inspection
We reviewed information we had received about the service since its registration. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with two people who used the service and two relatives about their experience of the care provided. We spoke with three members of staff including the registered manager and two care staff.
We reviewed a range of records. This included three people’s care records and one person’s medication records. We looked at three staff files in relation to recruitment, training and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
2 July 2019
About the service
My Homecare Haringey is a domiciliary care service registered to provide personal care support to people with a learning disability or autistic spectrum disorder, a physical disability, a mental health condition, dementia, older people and younger adults. However, at the time of this inspection, the provider was not delivering care to people with learning disabilities. The registered manager told us there were no plans to do this in future.
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. At the time of the inspection, five people were receiving personal care support.
People’s experience of using this service and what we found
People told us they found staff trustworthy. People received care at their preferred and agreed time. People were supported by staff who knew how to safeguard them from harm, abuse and neglect. People received safe medicines support. They were supported by suitable and enough staff.
People’s needs were assessed before they started receiving care. People were supported to live healthier lives. People told us their needs were met by staff who received appropriate and regular training and supervision.
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 caring and friendly and treated them with dignity and respect. People were supported by staff who knew the importance of treating people without discrimination. People’s care needs in relation to their protected characteristics were met.
People were involved in developing their care plans. However, they were not always personalised. We have made a recommendation about person-centred care planning. People were supported by staff who knew their wishes, likes and dislikes.
People were encouraged to raise concerns and told us they knew how to make a complaint. People told us they were happy with the service and found the management approachable. The provider had systems in place to ensure the safety and quality of the service and improve people’s care experiences.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was registered by CQC on 11 June 2018. This is the service's first inspection since its registration.
Why we inspected
This was a planned comprehensive inspection based on CQC's scheduling process to check the safety and quality of care people received.
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.