We carried out a review of the data available to us about Galiant Health Care Almondsbury 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 Galiant Health Care Almondsbury, you can give feedback on this service.
Galiant Health Care Almondsbury is a domiciliary care agency providing care to people in their 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 there were 22 people receiving support with personal care.
People’s experience of using this service and what we found
The service had made improvements since our last inspection and was no longer in breach of regulation. Improvements had been made in relation to how the service was monitored and audited.
People using the service were safe. There were recruitment processes in place to ensure new staff were suitable for their roles and people told us they built positive relationships with staff. There were risk assessments and care plans in place to guide staff in providing safe support for people. When people had particular support needs, staff were given training to ensure they were able to deliver the person’s care safely and effectively.
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.
The service was well led and person centred in nature. People’s views were sought and taken in to consideration and any issues or concerns responded to promptly. Staff were well trained and supported in their roles.
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 8 March 2022). 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 carried out to follow up on action we told the provider to take at the last inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Galiant Health Almondsbury on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Galiant Health Care Almondsbury is a home care service providing personal care to people, some of whom needed support with mental health needs. At the time of the inspection the service was supporting 22 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 told us they felt safe, however, we received mixed feedback about the timing of their calls. Risks to people had been assessed but relatives told us a copies of these documents were not kept in people’s homes. Medicines were only administered by suitably trained staff. There were systems in place to reduce the risk of cross infection. Safe recruitment procedures were followed
The registered manager had been absent for some time. There was a lack of clarity as to who was carrying out their role. Audits were in place but these were not up to date. People and relatives told us they were not always happy with the standard of communication with the office based staff.
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 good (published 9 August 2019).
Why we inspected
The inspection was prompted in part due to concerns received about the absence the registered manager. CQC had been told the registered manager was away on two separate occasions. However, CQC did not receive any formal management information to inform us of who and how the service was going to be managed in the absence of a registered manager. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from this concern.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this 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.
At the time of the inspection the service was providing support to six people. The service was provided across the City of Bristol.
People’s experience of using this service:
People received care and support to meet their needs. Staff knew how to safeguard people from abuse and what they should do if they thought someone was at risk.
There were enough numbers of staff employed to work in the service so that people’s needs were met. People were safely supported with their medicines and general health needs.
Independence was encouraged as well as positive risk taking. If an incident or accident did occur, they were well reported and investigated.
People felt staff were caring and always treated them with dignity and respect. The staff had a very good understanding of the care and support needs of people they supported. People said staff supported them with goal setting and working to achieve their goals. They also told us staff had enabled them to regain confidence to do things. Care was personalised to reflect people’s wishes and what was important for them.
People were well supported to participate fully and actively in the community. Care needs were thoroughly assessed and reviewed to ensure people received the right support and care at the right time. Care and support were adapted when needs, choices and decisions changed.
People received care and support that was responsive to their needs. This was clearly evidenced in the way that people were supported to make informed choices, so that they could control their care and support. They were included in wider decisions about the way the service was provided, and suggestions, feedback and concerns were fully considered.
The team of staff had received training to enable them to carry out their role effectively. They were also well supported by their management team to do their job.
People had good relationships with care staff who protected their rights to lead as normal a life as possible. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.
Relatives told us they felt people were safe and well cared for in their home. Some people were unable to provide detailed verbal feedback but were able to indicate that they felt comfortable and at ease with staff. Everyone spoke positively about the service they received.
There was a complaints procedure which people were all aware of. The manager had an open-door policy which welcomed informal discussions and conversations whenever needed.
People benefited from a service that was well led. Staff knew there were a clear set of values in place which they put into practice. There was an open culture and staff said they felt well motivated and valued by the managers.
Rating at last inspection: This was the first inspection of the service since it was registered with us in September 2018
Why we inspected: This was a scheduled inspection, based upon the date the service was registered with us.