About the service: Helpers Homecare is a domiciliary care service. The service is registered to provide care and support for older people and younger adults who may experience dementia, sensory impairments, learning disabilities, physical impairments or mental health issues. At the time of this inspection 205 people were using the service.People’s experience of using this service:
People were safe and protected from avoidable harm because staff knew how to identify and report any concerns relating to the risk of abuse. They were familiar with how to report concerns to agencies outside of the organisation. Risks to people`s health, safety and well-being were assessed and measures put in place to remove or reduce the risks. People were supported by staff who had been safely recruited through a robust process.
People’s medicines were managed safely. Staff had received appropriate training and had their competency assessed to help ensure they were sufficiently skilled and knowledgeable in this area. Staff had received training in infection control practices and personal protective equipment such as gloves and aprons was provided for them. The management team took appropriate actions following incidents and learning was shared with staff.
Before care delivery started the provider completed assessments to make sure people`s needs could be met by Helpers Homecare. Care plans were developed from these assessments for each person’s identified needs and staff had clear guidance on how to meet those needs. Staff received training and support to enable them to carry out their roles effectively.
People told us staff prepared simple meals for them as needed and encouraged people to take fluids to maintain their health and wellbeing. Staff and management knew people well and were able to promptly identify when people`s needs changed and sought professional advice appropriately. Staff were proactive in identifying if people were unwell and contacted appropriate healthcare professionals as needed. Mental capacity assessments were carried out where needed to establish if people making decisions affecting their lives had the capacity to do so.
People and their relatives praised the kind and caring nature of staff. People received consistent care from a small team of staff. Staff helped to relieve people’s distress and discomfort, and supported people to maintain personal relationships. They also helped to support people during times of emotional upheaval and supported people above and beyond their care responsibilities. People told us they knew about their care plans and they could decide what care and support they needed. People’s records were held securely in a locked cabinet within a locked office to help promote confidentiality.
People received care and support as they wished. People told us they would be confident to raise any concerns with the management team. However, everyone we spoke with during this inspection was satisfied with the care and support they received. The service provided support for people at the end of their lives to enable people to remain in their own homes.
The provider was committed to providing a high standard of care to the people they supported and understood their responsibilities under the Duty of Candour. People, their relatives and staff members spoke highly of the provider and registered manager and told us that they were always available and supportive. People told us that they were asked for their views about the quality of the service.
Rating at last inspection: At our last inspection, the service was rated “Good”. Our last report was published on 22 June 2016.
Why we inspected: This was a scheduled inspection based on the previous rating of the service.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk