30 November 2022
During an inspection looking at part of the service
Excelle Home care is a domiciliary care agency and is based in the London Borough of Havering. The service provides personal care to adults 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.
The service was supporting 11 people with personal care at the time of the inspection.
People’s experience of using this service and what we found
At our previous inspection of this service on 26 April 2021, we found robust quality assurance systems were not in place to identify shortfalls we noted with risk assessments and staff time keeping. At this inspection, we found improvements had been made and quality assurance systems were in place to identify shortfalls and take prompt actions to ensure people were safe.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The previous rating for this service was requires improvement (published 12 June 2021) and there were breaches of regulation. We issued requirement notice for breach of Regulation 18 (Staffing) and a warning notice for breach of Regulation 17 (Good Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
Why we inspected
We undertook this targeted inspection to check if there were improvements regarding the concerns we identified at the last inspection about governance of the service and if the service was compliant with the warning notice we served. The overall rating for the service has not changed following this targeted inspection and remains requires improvement.
We use targeted inspections to follow up on warning notices or to check concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.