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Hands on Healthcare Solutions

Overall: Good read more about inspection ratings

Office Room 1, First Floor, Salamander House, 2-10 St. Johns Street, Bedford, MK42 0DH (01234) 309671

Provided and run by:
Hands on Healthcare Solutions Ltd

All Inspections

During an assessment under our new approach

Date of assessment 21 March 2025 to 04 April 2025.

About the service: Hands on Healthcare Solutions Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. Not everyone using a domiciliary care agency receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided.

As part of our assessment methodology for people with a learning disability and autistic people, we assess if services are meeting the Right Support, Right Care, Right Culture (RSRCRC) statutory guidance to make judgements about whether the provider guaranteed people with a learning disability and autism respect, equality, dignity, choices, independence and good access to local communities. This includes:
Right Support: Model of care and setting maximises people's choice, control, and independence.
Right Care: Care is person-centred and promotes people's dignity, privacy, and human rights.
Right Culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive, and empowered lives.

At the time of our assessment there were 18 people receiving personal care including 6 people with a learning disability.

We looked at 13 priority quality statements and found areas of outstanding practice; our overall rating remains good.

The provider was able to demonstrate how they were meeting all of the underpinning principles of Right Support, Right Care, Right Culture. People were at the centre of how their care was planned and delivered. People could access care in ways that met their personal circumstances and protected equality characteristics. Staff supported people in a safe and effective way and were aware of people’s needs. People were seen as individuals, felt listened to and were happy with the support provided. People's quality of life was enhanced by a culture of learning and improvement.

7 October 2019

During a routine inspection

About the service

Hands on Healthcare Solutions is a domiciliary care agency providing personal care to 18 people at the time of the inspection. Not everyone who used the service received personal care. 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.

People’s experience of using this service and what we found

People told us they felt safe because staff treated them well and had never missed a care visit. One person said, "Well, they do everything well, I am very satisfied with what I have had up to now. Staff treat me very well and never miss a call. Staff speak nicely and show respect they chat to you and ask if there is anything else they can they do."

People were safe as staff had received training in safeguarding adults and had a good understanding of the types and symptoms of abuse. Staff knew how to report concerns and were confident to do so.

People said they received their medicines on time and correctly. Staff worked with the local health professionals and pharmacies to ensure people had the right medicine and health support at the right times.

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. Staff had a good understanding of the Mental Capacity Act and how to support people to make decisions or report concerns of capacity where people's abilities had changed.

People were supported by staff to follow their own preferred diets and religious and cultural needs. This included specialist diets recommended by health professionals. Staff supported people to access a range of health professionals as they required it.

People told us staff were kind and caring and never rushed them. Staff supported people to review their care needs regularly involving their relatives and health professionals as requested. People were supported to live independently and find ways to maintain this.

People were supported to receive care that was in line with their preferred methods and needs, taking into account their abilities and cultural sensitivities. People had not yet had to make complaints but were confident they would be listened to if they raised a concern.

People were encouraged by staff to give feedback on the service and suggest ideas for improvements. The registered manager had created an open, person centred culture and a clear vision of good quality personalised care that was shared by the staff team and experienced by people receiving care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

This service was registered with us on 3 November 2018 and this is the first inspection.

Why we inspected

This was a planned inspection based on the date of registration.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.