We carried out a review of the data available to us about Excellent Care Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Excellent Care Ltd, you can give feedback on this service.
Excellent Care Limited is a domiciliary care service providing personal care to 3 people aged 65 and over at the time of the inspection.
People’s experience of using this service and what we found
People received kind, compassionate care from well trained staff. Relatives told us staff had established positive relationships with their family members quickly and sensitively.
People were supported to stay safe from avoidable harm and risks. People were supported safely with their medicines.
People and their relatives were fully involved in assessing their needs and planning their care. Relatives told us the service was very flexible and responded promptly to any requests for change and feedback. Records showed people received their care as planned.
Staff told us they felt supported in their roles. Relatives told us their family members were supported by regular staff who knew them well. Staff had been recruited in a safe way and had received the training they needed to do their jobs.
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.
People were supported to maintain their relationships and with their social wellbeing. Relatives were confident any complaints would be responded to appropriately. There were systems in place to ensure people received appropriate end of life care if this became necessary.
Relatives and staff told us they felt the organisation was well run and managed. There were systems in place to monitor and improve the quality and safety of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was Good (published 15 March 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Excellent Care also run an employment agency where they provide staff to care homes. This is not regulated by CQC and was therefore not inspected.
The inspection took place on the 24 February 2017 and was announced.
The service had a registered manager who was in day to day charge of the service. A registered manager is a person who has registered with the Care Quality Commission 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.
Staff had an understanding of abuse and the safeguarding procedures that should be followed to report abuse. The staff we spoke with were able to demonstrate what they would do should they have any concern that abuse was taking place.
People had risk management plans in place. The person we spoke with were aware of the need for risk assessing and were happy with what was in place to support them. Staff were aware of risks associated with people and the guidance to minimise these.
There were enough staff deployed to meet the needs of the person. People told us staff always stay for the full length of the call.
Staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service. Staff induction training and on-going training was provided to ensure they had the skills, knowledge and support they needed to perform their roles.
People were supported to receive their medicines when they needed them. We were told by the majority of people we spoke to they did not have any issues with medicines and that they received them when necessary.
Staff were well supported by the registered manager, and had regular one to one supervisions, and spot checks. The staff we spoke with were confident that the support they received enabled them to do their jobs effectively.
People's direct consent was gained before any care was provided and the requirements of the Mental Capacity Act 2005 were met.
People were able to choose the food and drink they wanted and staff supported them with this. If required, staff supported people to access health appointments. We saw that people had information about their likes and dislikes with food and drinks, and dietary requirements recorded within their files.
Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes. People were involved in their own care planning and were able to contribute to the way in which they were supported.
The service had a complaints procedure in place, however no complaints had been received in the past year.
Feedback was sought by the management via surveys which were sent to people and their relatives. Survey results were positive and any issues identified acted upon.
Quality monitoring systems were in place and when audits were being conducted there was evidence that actions were taken to address issues drive future improvement.