11 January 2023
During an inspection looking at part of the service
Wight Home Care Limited is a domiciliary care agency. It provides personal care to people living in their own homes in the community. It provides a service to older adults, people living with dementia, mental health impairments, physical disabilities, sensory impairment and younger adults. 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 our inspection there were 59 people receiving personal care from the service.
People’s experience of using this service and what we found
People's care plans were up to date and contained person centred information. Risk assessments were completed for people which identified any risks, but these required further detail to ensure staff had the information they needed to mitigate risks. The provider took immediate action to make these improvements and staff demonstrated they knew people well and knew how to safely meet their needs.
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. However, some improvements were needed to the records made in relation to this.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic. The provider was meeting people’s needs in line with this guidance.
People were supported to be safe. There were systems and processes in place to ensure people were protected from the risks of avoidable harm. The provider had a policy and procedure for safeguarding adults and staff understood their responsibilities.
Staff had completed training in the safe administration of medicines and had their competency re-assessed annually or when needed. People were encouraged to maintain their independence to self-administer their own medicines, where possible. People who required support to administer medicines, were happy with how they were supported.
Staff had received appropriate training that equipped them to support people. Safe recruitment procedures were in place to help ensure only suitable staff were employed.
Staff felt they were supported by the management team and had regular contact to ensure they were informed of any important information or changes.
The management team had processes for monitoring visits and endeavoured to ensure that office staff contacted people when care staff were held up or were running late for visits.
Systems and processes were in place to monitor the service and identify and drive improvement. This included regular spot checks, audits and feedback surveys. The provider had developed an action plan to ensure they were able to identify and make any improvements needed in a timely way.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 27 April 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Wight Home Care Limited on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.