About the service Page Alliance Healthcare Limited is a domiciliary care agency providing personal care and support to people in their own homes. It provides a service to older people and younger adults. At the time of inspection, the service was providing personal care to five people.
People's experience of using this service and what we found
Overall, medicines were managed safely. Action was taken at the time of the inspection to improve medicines records. People’s relatives were very positive about the service and the care and support their family members received. They said the care and support provided was safe. Risks associated with care and the environment were recorded and monitored. There were enough staff to meet people’s needs in a consistent and flexible way. Staff protected people from avoidable harm, were knowledgeable about safeguarding and felt able to raise concerns. Systems were in place to recruit staff safely.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Consent to care was sought and recorded; staff understood people’s rights to make their own decisions. Staff received appropriate training and support to enable them to carry out their roles effectively and safely. New staff received an induction and shadowed the management team as part of this. Systems were in
place to ensure information to support people was shared and discussed appropriately with health professionals, where necessary.
People’s needs were assessed before they began to use the service and care plans were developed from this information. Care plans overall, contained information for staff to support people according to their needs. Some care plans needed strengthening to ensure they contained more detail about people's care. Action was taken to address this at the inspection. People told us staff were caring, treated them well and respected their privacy and dignity. Staff were described as very kind and patient. Care plans showed people had been involved in their care planning and in regular reviews. Staff promoted people’s independence and knew people's needs well.
The provider had a system in place for responding to people's concerns and complaints. People’s relatives told us they felt confident to raise any concerns. Staff were aware of people’s rights to make complaints. Procedures were in place to learn from incidents and actions taken to improve the service were recorded. People were treated with compassion. People who required palliative care were supported by staff with experience of this to ensure personalised end of life care.
People thought the service was well led. The registered manager and nominated individual were clear about their vision for the service, and ensured they shared this with the staff team. There was an honest and open culture; regular discussions with people, relatives and staff took place. Compliments and surveys showed people were happy with the service they received. Quality assurance systems were effective and identified where the service needed to improve. The registered manager and nominated individual were responsive to any issues raised during the inspection and demonstrated a passion and enthusiasm for driving improvements in 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 This service was registered with us on 26 October 2018 and this is the first inspection.
Why we inspected
This was a planned 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.