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16 July to 07 August 2025. The service is a domiciliary care agency (DCA) providing support to people in their own homes. At the time of the assessment there were 2 people using the service. We undertook this assessment to check improvements had been made to the service following our last inspection. The provider was previously in breach of legal regulations related to safeguarding, safe care and treatment, good governance and consent to care and treatment. Some improvements were found during this assessment, but the provider remained in breach of the regulations related to safeguarding, governance and consent to care and treatment. At this inspection, a new financial transaction system had been implemented to demonstrate any shopping the provider did for a person. However, the required processes had not always been followed, and not all expenditure had been accounted for. This did not ensure the system was effective in minimising the risk of financial abuse. The provider did not have a policy for recruiting volunteers and safe recruitment practice was not being followed. This did not ensure the most recent member of the team was safe to be at the service. The provider could not accurately describe the main principles of safeguarding and did not demonstrate an objective approach to the management of complaints. The provider had not completed safeguarding training for managers as agreed at the last inspection. This did not ensure any safeguarding or poor practice were appropriately identified or addressed. Records did not demonstrate consent to care and treatment was always sought in line with legislation or their own policy. This did not ensure decisions were made in the person’s best interests. An action plan following the last inspection had been developed. However, the provider could not discuss the actions taken so far or what else was needed to develop the service further. This demonstrated the provider was not proactive and did not have the knowledge to implement the changes required. The provider told us people were happy with the service they received. However, there was not a formal system to gain people’s views. This did not ensure people’s feedback was used to direct the development of the service. Staff told us the culture of the service had improved, and the provider was now more open and empowering. There continued to be a very small staff team which enabled consistency of care and staff to know people well. The provider told us there were enough staff to support existing care packages. Staff training had been reinstated, and a range of subjects had been completed. The provider continued to speak to staff daily, and a more formal supervision system was followed. However, this included staff supervising the providers, which did not ensure objective feedback. Risks people faced had been identified and records showed the action required to minimize harm. Additional detail had been added to care planning and people’s needs and wishes were stated. Improvements had been made to ensure the safe management of people’s medicines. This included clearer instructions for the administration of medicines and topical creams.
npm run etl:reports -- --location 1-2876428533.The service is not performing well and not meeting our expectations. Princess Homecare is a domiciliary care agency providing the regulated activity personal care. At the time of our assessment, 3 people were receiving personal care. We undertook an announced on-site assessment on the 16 April 2024. 1 inspector and 1 assessor completed this assessment. We found five breaches of the legal regulations in relation to safeguarding, risk management, the safe administration of medicines, consent to care and treatment and governance. Risks people faced were not always identified or assessed, and sufficient action had not been taken to enhance safety. Systems were not in place to minimise the risk of financial abuse and medicines were not always safely managed.There were enough staff to support existing care packages. However, staff training was inconsistent and there was a lack of formal staff supervision and monitoring. Leaders regularly provided people’s support, but not all was based on current evidence-based good practice. Leaders undertook some practices without gaining consent or following appropriate processes. However, people felt safe and were supported by a small team of consistent staff, who knew them well. Each person had a care plan, but healthcare conditions including the impact and support needed, were not recorded. People were very complimentary about the staff team. They said staff knew their preferences and how they liked their care to be delivered. People were encouraged to live healthier lives although there was variable feedback about choice. Systems did not ensure effective management oversight of the service. Regular auditing had not taken place, and shortfalls found during this assessment had not been identified. Leaders had been working through an action plan set by the Local Authority. Leaders told us all work requested, had been completed. We have asked the provider for an action plan in response to the concerns found at this assessment.
npm run etl:reports -- --location 1-2876428533.Princess Homecare, a small domiciliary care service in Wiltshire, was rated Good overall following a routine inspection on 6 April 2022, with both Safe and Well-led key questions rated Good. No failures or breaches were identified; the service demonstrated robust safeguarding, medicines management, risk assessment and governance practices.
Princess Homecare, a small domiciliary care agency supporting three people at the time of its first inspection, was rated Good across all five key questions. Minor shortfalls were identified in medication guidance for 'as required' medicines and supervision policy specificity, but the service demonstrated a strong caring culture, reliable service delivery and a proactive, learning-focused registered manager.