Enable Health Ltd

Enable Health provides personal care services to people in their own homes. Enable Health is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults, younger disabled adults, and children. At the time of our inspection 27 people were receiving a personal care service.

We had previously carried out an announced comprehensive inspection of this service on 7 September 2017 where we identified a number of areas where improvements were needed, to ensure that people were receiving care that was safe, effective, caring, responsive and well-led. We followed up with an inspection on 5 April 2018 and found significant improvements had been made. We could not rate the service good at that time because we needed to ensure the improvements were sustainable over a period of time. Therefore, the service was rated as Requires Improvement.

At this inspection we found that the improvements made at the April 2018 inspection had been sustained and, in some areas improved on. The service is rated as Good.

There was not a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The manager running the service was applying to register with the Care Quality Commission.

We were greeted warmly by staff at the service. The atmosphere was open and friendly.

People were safe. Staff understood their responsibilities in relation to protecting people from the risk of harm. Staff had received regular training to make sure they stayed up to date with recognising and reporting safety concerns. The service had systems in place to notify the appropriate authorities where concerns were identified.

Where risks to people had been identified risk assessments were in place and action had been taken to manage the risks. Staff were aware of people's needs and followed guidance to keep them safe. Sufficient staff were deployed to meet people's needs. People received their medicine as prescribed.

Staff had a good understanding of the Mental Capacity Act (MCA) and applied its principles in their work. The MCA protects the rights of people who may not be able to make particular decisions themselves. The manager was knowledgeable about the MCA and how to ensure the rights of people who lacked capacity were protected.

People were treated as individuals by staff committed to respecting people's individual preferences. The service's diversity policy supported this culture. Care plans were person centred and people had been actively involved in developing their support plans. People had good access to healthcare services.

People told us they were confident they would be listened to and action would be taken if they raised a concern. We saw a complaints policy and procedure was in place. The service had systems to assess the quality of the service provided. Learning was identified and action taken to make improvements which improved people's safety and quality of life. Systems were in place that ensured people were protected against the risks of unsafe or inappropriate care.

Staff spoke positively about the support they received from the manager. Staff supervision and meetings were scheduled as were annual appraisals. Staff told us the manager was approachable and there was a good level of communication within the service.

People told us the service was friendly, responsive and well managed. People knew the manager and both people and staff spoke positively about them. The service sought people's views and opinions and acted upon them.

The five questions we ask about services and what we found