Sussex Homecare (Mid Sussex) Limited

Not everyone using the service received the regulated activity. CQC only inspects the service being received by people provided with 'personal care. This includes tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

We inspected the service on the 15 November 2018 and the inspection was announced. We gave the provider 48 hours' notice of the inspection visit because the location provides a domiciliary care service and we needed to be sure that they would be in.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence, or information, from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At the last inspection, there were elements of the safe domain that needed improvement. At this inspection we found that the improvements had been made. Risks relating to people's care were reduced as the provider was ensuring that risks were assessed and managed effectively. People's medicines were now managed safely by staff. Systems were in place to protect people from abuse and staff received training in their responsibilities to safeguard people.

People were supported by staff who had been assessed as suitable to work with them. Staff had the right skills and knowledge to be able to meet people's assessed needs. Staff were supported through training, observations, supervisions and appraisals to help them understand their role and ensure continuous personal development. The provider had ensured that there were enough staff to care for people.

People continued to receive care in line with the Mental Capacity Act 2005 and staff received training on the Act to help them understand their responsibilities in relation to it. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

Staff remained kind and caring and had developed good relationships with people. Relatives told us their family members were cared for by staff and that they were comfortable in staff's presence.

People's needs continued to be assessed and person-centred care plans were developed, to identify what care and support was required. People were encouraged to live healthy lives and received food of their choice. People received support with their day to day healthcare needs.

Quality assurance and information governance systems remained in place to monitor the quality and safety of the service. People and staff told us that the service was well-led.

The five questions we ask about services and what we found