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Date of Assessment: 18 March to 9 April 2025. This assessment was prompted by a review of the information we held about the service. The service is a care at home service providing support to adults of all ages living in their own homes. CQC only inspects where people are receiving the regulated activity personal care. This is help with tasks related to personal hygiene and eating. At the time of the assessment 67 people were receiving the regulated activity from the service. We assessed 5 quality statements from the safe, responsive and well led key questions. We have combined the scores for these areas with scores from the last inspection to give the rating for this assessment. The provider demonstrated robust governance systems, ensuring incidents were effectively recorded, reported, and investigated. Staff understood reporting procedures, and lessons learned from incidents and complaints were used to drive improvements. Staff felt comfortable raising safety concerns and typically received feedback on their reports. Risk management was thorough, with systems in place to ensure safe support, especially in remote working and domiciliary settings. Monitoring of care visits, out-of-hours cover, business continuity plans, and a non-entry policy helped mitigate risks. Training tailored to people’s needs further supported risk reduction. Staffing levels met people’s needs, offering continuity through regular staff and training for new carers under supervision. Some people had raised concerns about their care call times and changes. However, the provider had listened to their feedback and made improvements to address people’s concerns. Electronic rota management helped allocate appropriately skilled staff to maintain consistency and good quality care. Staff benefited from comprehensive training, supervision, and ongoing support, with positive feedback from staff on the quality of training . Recruitment adhered to regulatory standards. End-of-life care was handled with sensitivity, engaging families, professionals, and stakeholders to ensure effective planning was in placed to meet people’s needs and preferences. Policies guided care delivery, and staff expressed confidence in end-of-life care due to appropriate training. The provider maintained strong governance and oversight of quality and safety. Management staff oversaw quality improvement, encouraging staff feedback through surveys and supervision. Regular audits and action plans addressed identified issues, while people’s feedback gathered from various sources contributed to ongoing service improvements.
npm run etl:reports -- --location 1-2950321839.npm run etl:reports -- --location 1-2950321839.npm run etl:reports -- --location 1-2950321839.