This inspection took place on 2nd and 3rd October 2017 and was announced. The provider was given 48 hours’ notice because the location provides domiciliary care services; we needed to be sure that someone would be in. Helping Hands provides personal care for people in their own homes. At the time of the inspection there were 51 people using the service. This was the first comprehensive inspection of the service following registration.There was a registered manager in post at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People received support from staff that understood how to keep them safe. Staff could describe risks to people’s safety and the action they took to keep people safe. Staff were safely recruited and there were sufficient staff to meet people’s needs when they needed it. People received support to take their prescribed medicines.
People received support from staff with the skills and training to know how to support people safely. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service supported this practice. People had support to access a choice of meals and receive support to maintain their health.
People had good relationships with staff and told us they felt they were treated with dignity and respect. People were offered choices and were supported to maintain their independence.
People received a service which was responsive to their needs and preferences. People’s needs were assessed and care plans were reviewed regularly. Complaints were responded to and people felt they could raise any concerns.
People felt able to access the registered manager and staff felt supported in their role.
Quality checks were carried out and people received feedback and this was used to drive improvements. However the checks on medicine records had not identified the concerns around topical medicines and there were gaps in notifications to CQC.