Eliona Healthcare Limited

Updated 14 June 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post. The registered manager was also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider

Notice of Inspection

This inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 25 May 2023 and ended on 01 June 2023. We visited the location’s office on 25 May 2023.

What we did before the inspection

In planning our inspection, we reviewed information we had received about the service. This included any notifications (events which happened in the service that the provider is required to tell us about) and any feedback about the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

We used all this information to plan our inspection.

During the inspection

We spoke with 2 relatives of people who received support for feedback on their experience of the care provided. We spoke with the registered manager and a member of the care and support team. We also received feedback via email from 2 members of care staff.

We reviewed a range of records. This included 2 people's care records and 2 people’s medication records. We looked at a variety of records relating to the management of the service. This included quality assurance processes, training records and meeting minutes.

Updated 14 June 2023

Eliona Healthcare Limited is a domiciliary care agency that provides personal care to people living in their own homes. The service provided support to older people including those living with dementia.

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 this inspection 4 people were receiving support with personal care.

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

Staff recruitment needed to be strengthened to ensure all appropriate checks had been completed before staff commenced employment.

We have made a recommendation about improving recruitment procedures to ensure it is more robust.

People receiving care and support felt it was delivered safely by staff they felt safe with. Systems and processes were in place to support people’s safety. There was a consistent and stable staff team of 5 and people told us their care staff were reliable, punctual and they saw the same staff.

People received the support they required with their medicines. Staff worked consistently within the provider’s policy and procedure for infection prevention and control.

People had their needs assessed and reviewed as required. People’s health care needs were documented, and staff knew when to liaise with health care professionals as required. Staff had the experience, knowledge and training to meet people’s needs.

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.

Feedback we received confirmed people were supported respectfully and with dignity, they had their independence promoted and were able to develop good relationships with staff members.

Complaints procedures were in place and staff told people how to use them. The provider's systems and processes monitored the quality of the service being provided. People’s views were sought through surveys, which were analysed and used to identify where improvements were needed.

The management team ensured that checks and audits were in place and used effectively to drive improvements. Staff were supported through ongoing monitoring and good communication. Staff felt well supported and valued. Information was shared with staff to support in the delivery of good quality care.

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

Rating at last inspection and update

The last rating for this service was Good (published 28 October 2017)

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

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