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Wetherby Home Care Limited

Overall: Good read more about inspection ratings

60A York Road, Acomb, York, YO24 4NW (01904) 783600

Provided and run by:
Wetherby Home Care Limited

Latest inspection summary

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Background to this inspection

Updated 19 February 2019

Background to this inspection

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was conducted by one inspector. An expert by experience made telephone calls to people who used the service. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type:

Wetherby Home Care Limited is a domiciliary care agency. It provides personal care to people living in their own homes in the community. Not everyone who uses the service receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

The service had a manager registered with CQC. 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.

Notice of inspection:

We gave the service 24 hours’ notice of the inspection visit because the manager is sometimes out of the office supporting staff or providing care. We needed to be sure that they would be in.

Inspection site visit activity started on 13 December 2018 and ended on 18 December 2018. It included home visits to two people who use the service, and telephone call to people and care staff. We visited the office location on 13 and 18 December 2018 to see the registered manager and office staff; and to review care records and policies and procedures.

What we did:

Before our inspection, we looked at information we held about the service. The provider sent us a Provider Information Return. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information we held about the service, such as notifications we had received from the registered manager. A notification is information about important events which the service is required to send us by law. We sought feedback from the local authority contract monitoring team prior to our visit. We used this information to plan the inspection.

During the inspection we spoke with 15 people who used the service and two relatives. We spoke with the registered manager, the provider's nominated individual, the manager and five care staff. We looked at a range of documents and records related to people’s care and the management of the service. We viewed five people's care records, medication records, three staff recruitment, induction and training files and a selection of records used to monitor the quality and safety of the service. We visited two people in their own homes to get feedback on the service, observe the care provided and look at the documentation available to staff in people’s homes.

Overall inspection

Good

Updated 19 February 2019

About the service: Wetherby Home Care Limited is a domiciliary care agency. It was providing personal care to 56 people at the time of our inspection. The agency supports older people and people with physical disabilities and people with mental health needs.

People’s experience of using this service: People received a safe service, from staff who were trained and supported in their role. Staff understood how to identify and report any safeguarding concerns. People had been introduced to the staff who delivered their care and people’s feedback, and visit monitoring records, indicated staff usually arrived on time. Where people required it, they were supported to receive their medicines in line with their prescription.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff respected people’s wishes.

People told us staff were caring, although some commented that particular staff made more effort than others to offer additional help and assistance above the core tasks expected. People’s dignity and privacy were respected.

Care plans were in place to give staff the information they needed to support people in line with their preferences. This included information about nutrition, health, communication needs and other areas of support. Care plans were updated when people’s needs changed, but there were some record keeping anomalies.

People had the opportunity to provide feedback on the service they received and the provider conducted checks and audits on the quality and safety of the service. These checks could be improved in some areas to help identify recording anomalies. Staff provided positive feedback about the management team and the provider demonstrated a commitment to continuously improving the service.

Further information is in the detailed findings below.

Rating at last inspection: Good (report published 9 July 2016).

Why we inspected: This was a scheduled inspection based on the service’s previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.