During an assessment under our new approach
Covenant Healthcare Ltd is a domiciliary care service providing personal care to people who live in their own homes, including older people and younger adults, some of whom live with dementia, sensory impairments or physical disabilities. Not everyone who used the service received personal care. CQC only inspects where people receive personal care which is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection there were 11 people receiving personal care. Some people receiving care have learning disabilities or autism. We have therefore assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. This assessment was carried out to follow up on action we told the provider to take at the last assessment of this service. We found improvements had been made and the provider was no longer in breach of the regulations. There had been improvements in the way people were supported, the management of people’s safety, how people were individually referred to in their care records and the management of the service. However, further development of some governance systems was required to provide the registered manager with assurance people’s care was consistently and accurately recorded and staff were always given the guidance they needed to support people, including in relation to advanced decisions. Staff supported people in their best interests and promoted their rights. Staff were confident any concerns and their feedback would be acted on. Processes were in place to safely recruit and induct new staff.