Horizon Healthcare Services Ltd

Updated 18 October 2022

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.

Inspection team

The inspection was carried out by one 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 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.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We also reviewed the information we already held about the service. This included their registration report and notifications. A notification is information about important events, which the provider is required to tell us about by law. We used all of this information to plan our inspection.

During the inspection.

During the inspection, we spoke with the registered manager. We reviewed documents and records that related to people’s care and the management of the service.

We reviewed the file of the registered manager, which included pre-employment checks and care plans, which included peoples support needs. We looked at other documents such as quality assurance and training records.

We also spoke to relatives of people that received personal care after the inspection.

Updated 18 October 2022

About the service

Horizon Healthcare Services Ltd is a domiciliary care agency and is based in the London Borough of Havering. The service provides personal care to people in their own homes. 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

We were unable to rate Horizon Healthcare Services Ltd due to insufficient evidence. The service supported a limited number of people and did not have any staff to provide regulated activities. The registered manager supported people with regulated activities therefore we were unable to assess some key lines of enquiries in detail.

Risks were identified and were assessed to ensure people received safe care. People told us they felt safe when receiving support. The registered manager was aware of how to safeguard people from abuse. Systems were in place to prevent and minimise the spread of infections when supporting people. Pre-employment checks were in place to ensure the registered manager was suitable to work with vulnerable people.

The registered manager had been trained to perform their roles effectively. People were supported to have maximum choice and control of their lives. The registered manager supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The registered manager had a good relationship with people and respected people’s privacy and dignity. People were encouraged to be independent and to carry out tasks without support.

Care plans required further information to ensure people received person centred care. Care plans had been reviewed regularly to ensure they were accurate. Systems were in place to manage complaints and people’s communication needs were met.

Quality monitoring systems were in place to obtain feedback from people to make improvements.

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 8 August 2020 and this was the first inspection.

Why we inspected

This was a planned inspection based on when the service registered with us.

Follow up

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