Cavendish Homecare Ltd

People were safeguarded against the risk of abuse. People told us they felt safe with the staff who supported them. One person said, "They can be trusted. I trust the carers and the firm. I would recommend them."

Recruitment had been affected by COVID-19 and the current cost of living crisis. The provider had reduced the areas they covered to ensure they had enough staff to cover people's needs. Most people and relatives told us that they saw the same staff and they stayed for the correct length of time. One relative said, "They are reliable, consistent and easy to access if you have concerns."

There was a system in place to manage medicines safely. We identified several issues with the recording of medicines. The registered manager told us this would be addressed. We have made a recommendation about this.

People and relatives told us that staff wore PPE to help reduce the risk of infection.

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. The registered manager was strengthening their recording systems around the MCA, to ensure it was clear how staff were following the requirements of the MCA. We have made a recommendation about this.

Staff were suitably supported and trained to ensure they could carry out their roles safely and effectively. Most people told us staff knew what they were doing. Staff supported people to eat and drink enough, where this was part of their plan of care.

People and relatives confirmed that staff were responsive to people's needs and planned and provided person-centred care. Comments from relatives included, "I think they are responsive. They are very accommodating. They have picked up on any little thing" and "They make sure [relative] is alive and go over and beyond." Care plans were in place which contained information about people's care and preferences. Reviews were carried out to ensure the care provided, met people's needs. One relative said, "They do

what's asked and seem to follow the care plan."

Audits were carried out to monitor the quality and safety of the service. The provider was strengthening their medicines recording system. People and relatives spoke positively about service. Comments included, "I would recommend Cavendish for the 100% attention you get" and ""They fit in with me I am happy with the carers."