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Right at Home Billericay, Brentwood & Havering

Overall: Good read more about inspection ratings

Suites 3 & 7, Churchill House, Station Road, Horndon Industrial Park, West Horndon, Brentwood, CM13 3XL (01277) 811105

Provided and run by:
L & K Care Limited

Latest inspection summary

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Background to this inspection

Updated 11 May 2019

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: One assistant inspector supported the inspection on day one by making telephone calls to people who receive the service and staff. One inspector and an assistant inspector visited the domiciliary care service on day two of the inspection.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to older people.

The service did not have a manager registered with the Care Quality Commission (CQC). Registered manager’s 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 inspection, the manager had applied to the commission to be registered.

Notice of inspection

We gave the service 48 hours’ notice of the inspection visit because it is small, and the manager is often 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 1 May 2019 and ended on 2 May 2019. It included telephone calls to people using the service. We visited the office location on 1 May 2019 to meet with the registered provider, manager and office staff and to review care records, policies and procedures.

What we did:

Before the inspection, we reviewed information we had received about the service since the last inspection. This included details about incidents the registered provider must let us know about, such as abuse; and we sought feedback from the local authority and other professionals involved with the service. We assessed the information that registered providers send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During our inspection visit, we spoke with 13 people using the service, and six staff including the registered provider, manager, care co-ordinator, recruitment and training manager and care staff. We observed the support provided throughout the service. We looked at records in relation to people who used the service including three care plans and three medication records. We looked at records relating to recruitment, training and systems for monitoring quality.

Overall inspection

Good

Updated 11 May 2019

About the service: Right at Home – Brentwood, Billericay and Havering is a domiciliary care agency. It provides personal care to people living in their own houses, flats and specialist housing. It provides a service to older adults. The service also provides 24-hour care within people's homes. Right at Home – Brentwood, Billericay and Havering serve the people within and around Brentwood, Billericay and Havering. At the time of our inspection, the service was supporting 37 people and employed 25 members of staff.

People’s experience of using this service:

Staff had a good knowledge of how to keep people safe from avoidable harm.

People were supported to take their medicines in a safe way.

Staff were recruited safely, and appropriate checks were carried out before they started work at the service.

Where lessons were learned, feedback was provided to staff to ensure continuous improvement took place throughout the service.

Quality assurance processes were in place to ensure the safety of the service and these supported the safe running of the service.

The manager ensured that staff received specialist training based on people’s individual needs.

People received care and support based on their individual assessment, needs and preferences.

Staff continued to have a good understanding of key pieces of legislation and when they should be applied.

People were supported by staff who understood the need to ensure person centred care and to respect and listen to people.

People told us they felt well cared for by staff who treated them with respect and dignity.

Systems were in place for people to raise complaints and concerns.

Staff liaised with other health care professionals to ensure people's safety and meet their health needs.

Staff spoke positively about working for the provider. They felt well supported and could talk to management at any time, feeling confident any concerns would be acted on promptly.

Rating at last inspection: Good (report published 2 November 2016.)

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remained good overall.

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 we receive any information of concern, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk