About the service Right at Home (Cheshire East) is a domiciliary care agency providing personal 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 inspection, eight people were receiving regulated activity.
People’s experience of using this service and what we found
People felt safe and staff understood their responsibilities to safeguard people. Risks were fully assessed, and appropriate resources, equipment and external service input identified. People were supported by a consistent staff team. Systems were in place to learn lessons when things went wrong, such as accidents and incidents, and action was taken to prevent future risk. We have made a recommendation to ensure recruitment processes are followed and are suitably robust.
People’s needs were fully assessed, and appropriate steps taken to ensure equipment and resources were in place to meet people’s needs. Staff were well trained and supported to do their role. Staff worked closely with other health care services to deliver appropriate care and support. People were supported to eat and drink and a balanced diet was encouraged. 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. Staff consistently sought consent from people and involved them in decision making.
Staff were kind and caring and knew people well. Staff knew how to involve people in decision making and fully respected people’s privacy and dignity. People’s diverse needs were considered, and care plans tailored to meet individual needs. Staff knew how to support people and encouraged them to remain as independent as possible.
Care plans were person centred and reflected people’s needs and preferences. These were reviewed regularly, and people and their families were fully involved in this process. People felt able to raise concerns, and these were investigated and responded to. The registered manager worked closely with local services to provide end of life care for people, and staff knew how to provide compassionate care to people and their families at that time.
The management team were committed to delivering good care. Feedback was consistently sought from people who used the service and learning was shared across the staff team. Good practice guidance was considered and work ongoing to embed this practice. People spoke positively about the registered manager and told us they were approachable and responsive to concerns. The registered manager was organised and understood their regulatory duties.
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 03/07/2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date the service registered with CQC.
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.