Hibiscus Domiciliary Care Agency

Date of Assessment: 10 January 2025 to 24 January 2025. This assessment was completed to identify if the required improvements had been made following a previous inspection. The service is a domiciliary care agency providing personal care to adults of all ages living with physical disabilities, sensory impairments, dementia and mental health conditions. Governance systems were not consistently identifying areas of improvement. The provider had not fully understood reportable incidents and improvements were needed to learning and improvement systems. However, staff safeguarded people from the risk of abuse and were suitably recruited and trained. People were supported to maintain a safe environment including steps taken to minimise the risks from cross infection. Systems were in place to learn and prevent future incidents and provide people with safe care minimising risks to their safety. Medicines were given in line with the providers policy. People’s needs were assessed and plans put in place to meet them by staff who worked as a team to provide evidence-based care, with other health professionals. People using the service experienced an improved quality of life and their consent was sought. Staff were kind and caring treating people as individuals and helping to retain their independence. People made choices about their care and staff were responsive to their needs. Staff understood people’s needs and preferences and provided care taking account of peoples protected characteristics. People made plans for their future and staff provided appropriate information and listened to people. The provider supported staff wellbeing and staff described an open and positive culture. The vision for the service had developed and improved systems, staff were treated equitably, with the freedom to speak up if things went wrong. The provider worked in partnership with staff, other professionals and people using the service and their relatives to continually improve the service.