This inspection of Kharis Healthcare Ltd took place between 27 July 2018 and 7 August 2018. Our visit to the office was announced to make sure the registered manager was available.

This is the first inspection of this service. They were first registered with us, the Care Quality Commission (CQC), on 13 April 2016.

Kharis Healthcare Ltd is a domiciliary care agency that provides personal care to people living in their own houses and flats in the community. It provides a service to older adults. At the time of our visit three people were using the service.

Not everyone using Kharis Healthcare Ltd receives a 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.

There was a registered manager at this agency who was supported by three care staff. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff knew how to respond to possible harm and how to reduce risks to people. Risks to people were assessed and action taken to reduce these. There were enough staff who had been recruited properly to make sure they were suitable to work with people. Medicines were administered safely. Staff used personal protective equipment to reduce the risk of cross infection to people. There were systems in place to make sure lessons were learnt about accidents and incidents.

People were cared for by staff who had received the appropriate training and had the skills and support to carry out their roles. People received support with meals, if this was needed. Staff members understood and complied with the principles of the Mental Capacity Act 2005 (MCA). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

Staff were caring, kind and treated people with respect. People were listened to and were involved in their care and what they did on a day to day basis. People’s right to privacy was maintained by the actions and care given by staff members.

There was enough information for staff to contact health care professionals if needed and staff followed the advice professionals gave them. People’s personal and health care needs were met although not all care records were updated with changes to guide staff in how to do this.

A complaints system was in place and there was information available so people knew who to speak with if they had concerns. Staff had guidance to care for people at the end of their lives if this became necessary.

The provider’s monitoring process looked at systems relating to the care of people. People’s views were regularly sought so that action could be taken to improve the agency if needed. The agency was run by a family group, who all knew and cared for people, and updated them with any changes.

Further information is in the detailed findings below