About the serviceEclipse Care Solution Ltd provides care and support to people in their own homes across the St. Helens area. 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 14 people were using the service.
People's experiences of using this service and what we found
Individual risks to people had been assessed and in most cases staff had access to information and guidance around how to manage identified risks and prevent harm occurring. However, two people had risks associated with diabetes. No information or guidance was available for staff to enable them to identify and respond to concerns associated with this risk. No person had come to harm as result of this and by the end of our site visit, the registered manager had created risk management plans and guidance sheets for staff to access. This was further confirmed by staff throughout the inspection.
People told us they felt safe with the staff who supported them and whilst they had no concerns or worries, knew who they could talk to if they did. Family members told us they knew their relatives were safe and felt confident leaving them in their presence. One family member told us; "I can go the shops now which I couldn't do before."
There enough suitably qualified and skilled staff to cover the hours of support that people required. People and family members told us staff always arrived on time and never appeared rushed. Staff told us calls were well organised and carefully spaced out giving them enough time to travel to each call. Safe recruitment processes were in place to ensure newly recruited staff were suitable to work with vulnerable people.
Systems were in place to prevent the spread of infection and reduce risks associated with COVID-19. Staff accessed regular COVID-19 testing and told us they were kept up-to-date with information and guidance about infection prevent control and the current pandemic. People told us staff always wore the correct PPE and staff told us they had access to enough supplies.
People's needs had been assessed in line with current guidance and plans in place to help staff manage these effectively; this included any needs associated with meal preparation. Staff supported people to access health care professionals and acted on advice given when needed.
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 and family members were complimentary of all staff who supported them. They told us they were genuinely kind and lovely people and brightened up their day. One person told us; "They [staff] do anything they can do for me. I never have to ask, they just do it." A family member told us; "They [staff] always ask if we need anything doing before they leave. Even things they are not paid to do."
People received care that was person-centred and based on their choices and preferences and were involved in the decisions about their care. Family members felt included in the care planning process and were kept updated when things changed. Where required, staff supported people to access the community.
Systems that were in place to monitor the quality and safety of the service were mostly effective. However, where checks and audits had been completed on daily communication logs and medicine administration records (MARs), there was a lack of cross-referencing to ensuring information recorded was consistent across records. This was discussed with the registered manager and relevant records amended to address the issue.
People, family members and staff all spoke highly of the service and the person-centred culture promoted by the registered manager. People and family members highly recommended Eclipse Care Solution. One family member told us; "I couldn't speak highly enough of the service. They are amazing."
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 31 May 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on CQC inspection guidance for newly registered services.
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.