Agency profile · CQC 1-2145878316

Home Sweet Home Care Limited

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Provider

Barking and Dagenham · London · Active since 13/0

GoodHome-care★ Owner-managed (director & PSC)RM: Creswell, Vicky

Overall rating

Good

safeGood

effectiveGood

caringGood

responsiveGood

well-ledGood

Last inspection

1 year ago

24/Jul/2024 - 00:00

Inspected 1 year ago

Overview Inspections (4)Findings (6)Owner-management Methodology

Inspection reports (4)

Single Assessment Framework · 2024-07-24
Framework: SAF · 6 pages · PDF
Home Sweet Home Care Limited is a domiciliary care agency providing support with personal care to people living in their own homes, many of whom are older people. We carried out our on-site assessment on the 16 May 2024 and our assessment activity started on 12 May and ended on 12 June 2024. During our assessment we found many examples of good practice, including in relation to the care people received, keeping people safe, staff training and recruitment. However, we found shortfalls with staff timekeeping and that this had not been adequately addressed by the senior leadership team. This was a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
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Inspection report · 2022-08-27
Framework: KLOE · 12 pages · 83 KB · PDF
Requires improvement
safe: Requires improvementwell-led: Requires improvement

A focused inspection of this domiciliary care agency found breaches of Regulations 12 and 17 due to widespread issues with staff punctuality, short visits, and unsafe medicines management. The overall rating dropped from Good to Requires Improvement, although safeguarding, risk management, infection control and partnership working remained positive.

Concerns (6)

criticalMissed or late visits: “Data from the electronic monitoring system showed that there were a significant number of occasions when staff were late and/or not staying at the person's home for the required length of the call.”
criticalMissed or late visits: “Effective systems were not established or operated to ensure that staff arrived on time for visits or for monitoring staff punctuality. This potentially placed people at risk of harm.”
criticalMedication management: “The provider did not have effective systems in place to ensure that medicines were always managed in a safe way. This potentially placed people at risk of harm.”
criticalGovernance: “the provider did not have effective quality assurance and monitoring systems in place. This placed people at risk of harm. This was a breach of Regulation 17 (Good governance)”
moderateRecord keeping: “we identified some shortfalls in terms of recording the exact medicines given in five out of seven charts we reviewed.”
moderateStaff competency: “Records showed for one member of staff they had a criminal conviction. However, the provider had not followed up with the person what the conviction was for.”

Strengths

· Systems and processes were in place to help safeguard people from the risk of abuse
· Risk assessments were in place setting out risks and how to mitigate them, subject to regular review
· Steps had been taken to prevent and control the spread of infection, with PPE provided and spot checks
· Open and positive culture; staff spoke positively about leadership and felt supported
· Good working relationships with other agencies including local authority, district nursing and palliative care teams

Quality-Statement breakdown (12)

safe: Staffing and recruitmentRequires improvement
safe: Using medicines safelyRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
well-led: Continuous learning and improving careRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Working in partnership with othersGood

Inspection report · 2020-01-29

17 pages · 100 KB · PDF

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Inspection report · 2020-01-29

15 pages · 76 KB · PDF

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