The Care Quality Commission
  • Services in your home
  • Homecare service

Archived: One Lyric Square

Overall: Good read more about inspection ratings

One Lyric Square, Hammersmith, London, W6 0NB

Provided and run by:
Cavendish Staffing Limited

Important: The provider of this service changed. See new profile

All Inspections

16 February 2015

During a routine inspection

The inspection was carried out on 16 February 2015 and was announced. We gave 72 hours’ notice of the inspection to make sure that the staff we needed to speak with were available at the location.

One Lyric Square is a domiciliary care service which provides nursing care and personal care services to people living in their own homes. At the time of our inspection there were five people using the service.

There was a registered manager at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

There were established protocols in place to protect people from harm and keep them safe, which included written guidance for staff and relevant training. Staff demonstrated an understanding of the Mental Capacity Act (MCA) 2005 and were aware of the need to consider whether people had capacity. There were enough staff employed to meet people’s needs and provide a flexible service, including care packages that required two staff for each visit or shift. Relatives and external professionals told us that the provider could promptly respond to people’s requests for additional care and support.

Staff received suitable training to meet people’s needs. They received support and guidance from the clinical nurse specialist and the registered manager. Staff met two or three times a week with the clinical nurse specialist to discuss people’s identified needs and how these needs were being met.

Assessments were undertaken by the clinical nurse specialist to identify people’s nursing care and/or personal care needs. Risk assessments were conducted to promote people’s safety, whilst respecting their entitlement to make their own choices and maintain their independence as much as they were able to and wished to. The care plans were detailed and personalised, and were regularly reviewed and updated as required. Staff supported people to take their prescribed medicines and demonstrated a good knowledge of the provider’s medicines policy and procedure.

Relatives of people using the service and external professionals described the service as being well managed, and we received positive comments in regard to the commitment and compassion shown by the registered manager, the clinical nurse specialist, and the nursing and care staff.

There were systems in place to assess and monitor how the service performed, in order to continuously improve on people’s care and support.

29 January 2014

During a routine inspection

On this inspection, we spoke to the Registered Manager, Clinical Nurse Specialist, three nursing and care staff and two relatives of people who use the service. People expressed their views and were involved in decisions about their care and treatment. People we spoke with were pleased with the consistent way they were involved with planning and reviewing care. 'This is a very personalised way of working', one person told us.

People's care was planned in a way to ensure their safety and welfare. People were positive about the assessment and care planning process, the care given and the regular reviews and contact with the service. One person said, 'We are very happy, we've had so few problems with the agency over the years; we could change if we wanted to but we are pleased with the care.'

There were effective systems in place to reduce the risk and spread of infection. Staff understood and acted on clear infection control guidance.

People were cared for by staff who were appropriately recruited. The service followed a consistent recruitment process for all new staff.

There was an effective complaints system available. People we spoke with were aware of how to raise a concern if they had one and were comfortable to do so.

17 January 2013

During a routine inspection

We were unable to speak with people who used the service of Cavendish Staffing Limited however we spoke with doctors whose patients were using the services of the agency. They told us that staff worked well with them to provide a team approach to people's care and treatment. They described the service as 'excellent' and one said 'I could not fault it'. People were given sufficient information so that they could decide whether the agency could meet their needs.

People had up to date care plans and risk assessments that were reviewed and amended as required. There were safeguarding processes in place if required and staff understood their responsibilities.

The doctors told us that staff were well trained and responsive to people's needs. Staff had received appropriate training, supervision and appraisal to enable them to care for people in their homes.

There was an effective quality monitoring process in place so that the provider could identify areas for improvement and act on them. People were asked for their feedback about the service and the registered manager visited and contacted people regularly to ensure that the service was meeting their needs.