Vicarage Homecare Ltd

Not everyone who uses the service may receive 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.

There had been a lack of adherence to some regulatory requirements in respect of notifications to CQC and display of the last CQC report rating. Whilst these matters were addressed during our inspection, it did identify there had been a gap in knowledge of the law by the provider.

The provider (who was also the registered manager) was open and honest and had taken steps to address any issues we raised. . People were protected from potential risks as staff had a good awareness of what these were and how to mitigate them, However, there was scope for some areas of risk assessment to be formalised to reflect staff knowledge.

Overall, people were satisfied with the arrangements for management of their medicines.

People were supported to have choice and control of their lives and staff supported them where possible in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were supported by enough staff, who were caring and had developed good relationships with them. Staff showed respect for their rights, privacy, dignity and independence. Checks of staff when employed ensured they were safe to work with people who used the service.

People felt able to share their views with the provider and staff and people felt if they raise any concerns the provider would do what they could to put things right. Staff were knowledgeable about people's needs and preferences and people told us they had good relationships with all staff.

People were supported by care staff who had the range of skills and knowledge to meet their needs. Staff

understood their role, and they felt well supported with access to regular supervision.

People's health was supported as staff worked with other health care providers to ensure their health needs were met.

People were supported by staff to have choices, and the provider's policies supported this practice. Recording of the specific decisions people could make could have been better recorded, although people were always asked for their consent by staff. People's likes and dislikes as well as diverse needs were well known and respected by staff.

People could raise concerns and the provider had systems in place to investigate, monitor and respond to these.