Happy 2 Help Community Care Ltd is a domiciliary care agency providing personal care to people living in their own homes. At the time of our inspection there were 32 people using the service. Not everyone who used the service received personal care. The Care Quality Commission (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. Date of assessment 22 May to 30 May 2024. We assessed 8 quality statements within 2 key questions. The assessment was completed in response to concerns we had received about the service. The inspection included a site visits 22 May 2024. We continued to review evidence off-site after these dates. The service was last inspected in April 2023 and was rated good in all areas. Systems were in place for the identification, investigation and reporting of safeguarding’s. Staff were aware of their safeguarding responsibilities. Staff had been recruited safely and were well trained and supported. Staff were deployed in a way that ensured people’s needs were met. Risks to people were identified and well managed. People were involved in decisions about their care and there were regular reviews with people to ensure the care was meeting their needs. Medicines were managed and administered safely. The service was well managed. The registered manager and senior staff were committed to providing person centred care. The registered manager and senior staff demonstrated a positive approach to continuous learning and improvement.
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Happy 2 Help Community Care Ltd improved from Requires improvement to Good across all five key questions, addressing previous breaches of regulations 12, 17 and 18. Inspectors found safe medicines management, robust risk assessments, effective training and supervision, person-centred care, and an approachable registered manager promoting a positive culture.
Strengths
· Risk assessments up-to-date with clear actions for staff to reduce risks
· Safe medicines management with spot checks and competent, trained staff
· Robust recruitment including DBS checks and contingency staffing plans
· Staff trained in safeguarding and able to recognise signs of abuse
· Effective infection prevention and control with good PPE access
Quality-Statement breakdown (20)
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongGood
safe: Preventing and controlling infectionGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies; supporting people to access healthcareGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Assessing people's needs and choices; delivering care in line with standardsGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express views and be involved; respecting privacy, dignity and independenceGood
responsive: Meeting people's communication needsGood
responsive: Planning personalised care to ensure choice and controlGood
responsive: Supporting people to develop and maintain relationships and follow interestsGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Managers and staff clear about roles; continuous learning; duty of candourGood
well-led: Promoting a positive person-centred, open, inclusive cultureGood
well-led: Engaging and involving people, public and staffGood