Spire Home Care & Training

Spire Home Care & Training is a domiciliary care agency. It provides personal care to people living in their own homes. The service was supporting 62 people at the time of inspection. CQC only inspects where people receive personal care.

People’s experience of using this service and what we found

Staff understood what abuse was and the actions to take if a person using the service was being abused. Risks to people were identified and care was planned to mitigate the risks. The provider had effective recruitment procedures to make safe recruitment decisions when employing new staff. There were enough staff working for the service to meet people’s needs. People were protected from the risks associated with the spread of infection. Staff assisted people to have their medicines as prescribed.

Staff received training, supervision and support to give them the necessary skills and knowledge to help them care and support people effectively. 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 maintained good physical and mental health because the staff team worked closely with other health and social care professionals. People were supported to eat and drink sufficient amounts to meet their needs.

People received care and support in accordance with their preferences, interests and diverse needs. Care plans contained information about people's needs and were reviewed regularly to ensure people received the care and support they needed. The provider had a complaints policy in place, which included who to contact to raise a complaint and how it would be dealt with.

The registered manager operated an open and inclusive culture where people, relatives, staff and other professionals were encouraged to help improve the service provided to people. Staff had access to a range of policies and procedures and this helped them to carry out their role. People were treated equally regardless of their abilities, background, lifestyle, values, beliefs and their cultures were respected. The registered manager worked in partnership with other organisations to support and care for people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

At the last inspection the service was rated Good (report published 16 December 2021).

Why we inspected

The inspection was prompted in part due to concerns received about how risks to people were assessed, what actions staff had to take in an emergency, how staff helped people to move around, pressure area care, staff training, incidents and accidents, care planning and record keeping. A decision was made for us to inspect and examine those risks.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Spire Home Care & Training is a domiciliary care agency. It provides personal care to people living in their own houses and flats. The service was supporting 70 people at the time of inspection. Most of them were older people living in their own homes or flats. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is to 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

There were systems in place to protect people from the risk of harm. Staff knew how to identify abuse and where they should report their concerns. People were protected from the risk of avoidable harm by having appropriate risk assessments in place. There were sufficient staff to meet people’s needs and recruitment processes were safe. People were protected from the risks associated with the spread of infection. They received their medicines as prescribed by the GPs.

There was an on-going training programme in place for staff to ensure they were kept up to date and aware of current good practice. Staff received regular supervision to monitor their performance and development needs. 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 did support this practice. People maintained good physical and mental health because the staff team worked closely with other health and social care professionals.

People were treated with kindness and respect. Staff promoted people’s independence and their privacy was respected. Staff demonstrated a good knowledge about the people they were supporting. People were listened to and their views respected when planning their care. The importance of confidentiality was understood and respected by staff.

People’s care was individualised and reflected their routines, preferences and wishes. People’s health and care needs were assessed on a regular basis. The provider took account of complaints and comments to improve the service. Informal concerns raised by people were addressed through discussion with staff on a day to day basis. Information about advocacy services was available to people who used the service.

People, relatives and staff told us they found the management team approachable There were systems in place to monitor and check the quality of care provided to improve the service and take action when required. The management team worked closely with other external organisations to ensure people’s needs were met.

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 13 September 2020 and this is the first inspection.

Why we inspected

This was a planned inspection as the service was unrated.

Follow up

We will continue to monitor information we receive about the service.