Background to this inspection
Updated
15 November 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type This service is a domiciliary care agency. It provides personal care to people living in their own homes. A manager had been appointed who was going through the process of registering with the commission. A registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service notice of the inspection. This was because we needed to be sure that the provider or manager would be in the office to support the inspection. We also needed information to help carry out parts of the inspection.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with seven people who used the service and five relatives about their experience of the care provided and visited three people in their own homes. We spoke with 12 members of staff including the nominated individual, manager, care coordinator and nine care workers. We reviewed a range of records. This included six people’s care records and medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection we asked the manager to send us further information. This was received promptly and considered as part of the inspection.
Updated
15 November 2019
About the service
Enterprise Homecare is a domiciliary care agency. It provides personal care to people living in their own homes in the community. At the time of the inspection the service was providing personal care to 163 people living in the Manchester and Stockport areas.
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.
People’s experience of using this service
The service provided a range of care packages. Most people who used the service were happy with the care and support provided by Enterprise Homecare. People and relatives told us they felt safe and staff were caring. Call times were generally reliable. The provider used an electronic call monitoring system to help monitor scheduled calls and to ensure the quality of the service.
Risk assessments identified risks to people. People felt safe and protected from the risk of harm. People told us they received their medicines as prescribed. Staff completed medication training and their competency was checked.
Staff described signs they would look for to identify abuse and records showed appropriate action was taken to safeguard people.
There were sufficient numbers of staff who were safely recruited. They received a programme of support through training, supervision and appraisal.
Care plans were person-centred and contained information about people’s life history and their preferences. Staff demonstrated their knowledge of people’s care needs and action needed to reduce risks to people.
The Accessible Information Standard was being met. People were supported by staff who met their equality, diversity and human rights. People’s communication needs were recorded in care plans.
People were supported by staff to access healthcare services and records. Staff provided good examples of occasions when they recognised a deterioration in people’s health.
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.
Recent management changes meant there was no registered manager at the time of the inspection. The provider had promoted the previous deputy manager and they were awaiting registration. The manager completed a range of audits and checks but aspects of good governance were not evident in all areas.
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 requires improvement (published 13 September 2018).
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.