The Care Quality Commission
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City Home Care Limited

Overall: Requires improvement read more about inspection ratings

90/B East Avenue, Hayes, UB3 2HR (020) 8127 8240

Provided and run by:
City Home Care Limited

All Inspections

During an assessment under our new approach

The assessment began on 29 May 2024 and ended on 07June 2024. City Home Care Limited is a domiciliary care agency providing personal care and support to people in their own homes. The agency is registered to provide care to children and adults including people with a learning disability. At the time of the inspection, only adults were using the service and no one being supported had a learning disability. At the time of the assessment 105 people were being supported by the service. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. We undertook this assessment to follow up on concerns identified by the local authority. These included staff not being trained, supervised appropriately, staff being late for visits, risk assessments not being carried out appropriately and incomplete records. We did not assess all quality statements at this assessment. For those areas we did not assess, we used the ratings awarded at the last inspection to calculate the overall rating. At this assessment we identified improvements were needed. We found three breaches of regulations regarding safe care, consent to care and good governance. Appropriate risk assessments were not always in place and the provider did not always obtain consent from the person to provide them with care. The provider had developed care plans for each person, but these did not always contain the most up to date or detailed information regarding the support the person required. We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety.

23 July 2019

During a routine inspection

About the service

City Home Care Limited is a domiciliary care agency providing personal care in people’s own homes. 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 the agency was providing a service to 21 people. The agency is registered to provide a service to children, younger and older adults. People had a range of needs ranging from those associated with a learning disability, physical disability and dementia.

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

We found that whilst there were mostly comprehensive risk assessments for people that covered a wide range of identified concerns, one risk assessment required more detail. Generally, medicine administration was thorough, and medicines were administered without error.

People and their relatives spoke positively about the care they received. They told us care workers always arrived on time. Their comments included, staff were very “friendly” and “kind.”

People found the registered manager and office staff approachable and had confidence they would address any concerns.

People confirmed their care was provided as they wanted it to be done. They had person centred care plans with guidance for staff. Care plans were reviewed on a regular basis to ensure they were still relevant to the person.

People using the service felt safe.

People’s diverse support needs were met by staff who respected people’s choices.

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

Why we inspected

This service was registered with us on 23 July 2018 and this is the first inspection.

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.