About the service Shiloh Healthcare Services Ltd is a domiciliary care service. It provides care for people living in their own houses and flats. People are supported in their own homes so that they can live as independently as possible. CQC regulates the personal care and support. There were five people who received personal care at the time of the inspection. 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
Some improvements were required to the provider’s records relating to the management of the service and people's care records. Audit processes had sometimes, but not always led to improvements. The provider had policies in place for the duty of candour and for other governance and management functions of the service. Processes were in place to ensure any accidents and incidents were reported and investigated. Person-centred care was promoted by the service and people, relatives and staff were engaged and involved.
There were enough staff to meet people’s needs and staff had enough time to care for people safely. Checks had been made on the suitability of staff to work in care. Checks were in place to ensure people’s medicines were administered safely and risks from infection reduced. People’s care needs were assessed, and their safety monitored. Systems were in place to help reduce the risk of abuse.
People’s care needs were assessed. Staff were trained and supported to provide care that met people’s identified care needs. Where care staff helped people with their meals and drinks, care plans identified their preferences and needs. Care staff worked effectively with other health care professionals involved in people’s care.
People were supported to have maximum choice and control of their lives and care staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Care staff were described as calming, soothing and happy. People’s privacy and dignity was respected, and their independence promoted. People were supported to express their views, and these were reflected in their care plans.
People had control over their care and their choices were respected. People’s communication needs were met. Care staff had developed positive relationships with people and their relatives. Care staff supported people with any advance care plans where they had chosen to discuss this with staff. Complaints processes were in place to ensure any complaints were investigated and resolved.
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 27 September 2019 and this is the first inspection. The service has not operated continuously since it first registered. It re-started providing personal care in November 2020.
Why we inspected
This was a planned inspection based on the date of registration.
Follow up
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.