Help to Live at Home: CQC finds MiHomecare service still requires improvement
In January and February this year the Care Quality Commission (CQC) inspected MiHomecare's work for Wiltshire Council's Help to Live at Home programme in west Wiltshire and found five breaches of legal requirements. The CQC had returned on September 10 to see whether the promised improvements had been made - this was an announced inspection.
The CQC's new report (made public on December 7) shows the MiHomecare service still 'requires improvement' in four of the areas the CQC inspect: is the service safe, effective, responsive and well-led. It was as 'good' for its 'caring' approach, but overall was rated as 'requires improvement'.
A new manager had taken over in July 2015, new staff had been recruited and training has been carried out in the administration of drugs. They also found that "A new support plan format, to show people's needs and the support they required was in the process of being introduced."
However, they found that the MiHomecare service was still not always safe, not always effective, not always responsive and no always well-led.
Although staffing had increased: "...there remained some agency use and office staff were undertaking some visits on a planned basis." And people told the CQC they were concerned about the variety of staff supporting them and about the timing of their visits.
The report quotes on person: "How can I feel cared about when sometimes they ring my bell at 6am in the morning instead of 8.30am when I'm ready to get up."
"People described staff as being basically trained rather than being competent." The CQC will return for another comprehensive inspection.