Peace of Mind Home Support is a domiciliary care service providing personal care to people in their own homes. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of the inspection the service was supporting a total of 43 people who received support with personal care.People’s experience of using this service and what we found
People told us they felt safe with all the staff who supported them. They continued to receive care from a consistent staff team. There were enough staff to meet the needs of people.
There were procedures in place to help ensure only suitable staff were employed. However, we found essential pre-employment checks had not always been completed in line with the provider’s policy. We recommended the provider thoroughly reviews its recruitment processes to ensure they are compliant with legislation and best practice.
We found where people were at risk of falls guidance had not been provided to guide staff with action they should take to reduce the risk of harm. We recommended the provider implement a system to ensure staff have recorded guidance in how to support people with equipment provided to mobilise people safely.
People told us staff supported them to receive their medicines as prescribed. Not all care plans described the level of support people needed with the administration of their medicines. In response to our feedback the provider assured us a review of care plans would be carried out and this would be rectified immediately.
Staff had completed safeguarding training and understood their responsibilities to report any concerns to protect people from harm and abuse. There was a system for staff to report and record accidents and Incidents.
We recommended care planning include an assessment of people’s oral healthcare to ensure their health and wellbeing needs are met.
People told us staff were kind and caring and treated them with respect and dignity. People's independence was promoted and encouraged by staff.
People knew how to raise a complaint and felt confident any concerns would be addressed. People were encouraged to express their views on the service they received and to support continuous improvement.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The provider had systems in place to monitor and provide good care and these were reviewed on a regular basis.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last The last rating for this service was Good (published 22 August 2017).
Why we inspected
This was a planned inspection based on the previous rating.