15 September 2021
During a routine inspection
Home Instead Leigh is a domiciliary care agency which provides personal care to younger adults and people over the age of 65 within Leigh and the surrounding areas. On the Dot Care Ltd is a franchise of the national provider Home Instead Senior Care UK Limited, trading as Home Instead Leigh. At the time of the inspection eight people were receiving the regulated activity of personal care.
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
Staff had awareness of safeguarding and knew how to raise concerns. Steps were taken to minimise risks where possible. Risks to people's health and well-being were identified and monitored. Guidance was in place for staff on how to support people with these risks.
People’s needs were comprehensively assessed before starting with the service; people and their relatives had been involved in the care planning process. Staff had developed supportive relationships with people and knew them well; people received person-centred care as a result. Staff supported some people to access healthcare professionals when required and supported some people to manage their medicines safely.
Staff were competent and had the skills and knowledge to enable them to support people safely and effectively. Staff received the training and support they needed to carry out their roles effectively and received regular supervisions, competency checks and appraisals; staff we spoke with confirmed this. Systems were in place to recruit staff safely.
Staff promoted people's independence and treated them with dignity and respect. People were involved in making decisions about their care and involved in reviews to ensure their care plans met their needs and supported them to achieve outcomes. Staff supported people to access the community. People and their relatives were complimentary about the staff and their caring attitude.
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 knew how to make a complaint. There was an effective complaints process in place to deal with any complaints that might be raised in the future. The registered manager and staff were committed to providing high quality care and support for people.
The service had an open and supportive culture. Systems were in place to monitor the quality and safety of care delivered. There was evidence of improvement and learning from any actions identified.
The provider and registered manager followed governance systems which provided effective oversight and monitoring of the service. These governance systems and processes were robust and identified areas of the service where improvements were needed.
The registered manager completed a range of audits to ensure the service provided to people was safe and effective and to drive 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 June 2020 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
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.