Right at Home Enfield

Right at Home Enfield is a domiciliary care agency providing personal care to people living in their own homes. The service supported older adults, many of who were living with dementia. At the time of the inspection, the service was supporting 17 people.

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 and what we found

People benefited from an outstanding service that met their needs, understood people as individuals and held values that placed people at the heart of their care. People and relatives overwhelmingly told us of their satisfaction with the care and support they received. They felt staff were responsive to their needs and enabled them to live their lives in a way that promoted their independence and enjoyment of life. People and relatives consistently praised the caring nature of staff.

Staff were committed to providing a wide range of tailored activities to people in their own homes and in the community. The service recognised COVID-19 meant people may experience increased isolation and loneliness. Staff went above and beyond to help people prevent this, ensuring special events were celebrated, encouraging and supporting people to take part in activities they had previously enjoyed and enabling people to access the local community. The service regularly reviewed people’s care and support needs.

The service was committed to improving the lives of people living with dementia. There were several initiatives to stimulate and involve people including the use of virtual technology which helped people reminisce and open up. The management of the service was actively involved in the local community to raise awareness of dementia.

There was a focus on proactively engaging people in planning their own care. The service understood that each person they worked with was an individual with different wants and needs and person-centred care was evident throughout the inspection.

There was exceptional management oversight of the service. The management team were extremely involved in all aspects of the service and knew every person and their relatives well. People and relatives told us they felt comfortable and happy talking to the managers at any time. Staff were valued and praised by the service including regular awards for staff that had gone above and beyond. There were champions for dementia care and medicines care who ensured best practice and shared this with the wider team. There was a low turnover of staff which reflected the outstanding support and training they received to carry out their role. This also meant people had the same care staff and were able to build rapport with the staff visiting them.

Relevant checks had been completed to make sure new staff were safe to work with vulnerable adults. People received their medicines safely and on time. People were positive about the support staff gave them to take their medicines.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 23 May 2019 and this was the first inspection.

Why we inspected

This was a planned inspection based on the date of registration.

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.