Archived: Hosanna Social Care Services

Updated 7 August 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection team consisted of an inspector, an assistant inspector and an Expert by Experience (ExE). An ExE is a person who has personal experience of using or caring for someone who uses this type of care service

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service over 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 17 June 2019 and ended on 20 June 2019. We visited the office location on 19 June 2019.

What we did before the inspection

As part of the inspection we reviewed the information we held about the service. We looked to see if statutory notifications had been sent by the provider. A statutory notification contains information about important events which the provider is required to send to us by law. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We also reviewed information that had been sent to us by the public. We used this information to help us plan our inspection.

During the inspection

During the inspection we spoke with the relative of the person using the service for personal care. We asked them about their family member’s experience of the care provided. We spoke with the registered manager and three members of care staff.

We reviewed a range of records. This included one person’s care records and medication records. We looked at three staff files in relation to recruitment and staff supervision. We also reviewed a variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.

Updated 7 August 2019

About the service

Hosanna Social Care Services is a domiciliary care agency providing personal care to people living in their own homes. At the time of the inspection they were providing personal care to one person.

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 were not protected from the risk of harm due to ineffective safeguarding systems. People were also not protected from the risk of harm connected with health conditions due to poor risk management systems. People did not always receive their medicines as prescribed. People’s health and nutritional needs were not always understood and met safely.

People were supported by sufficient numbers of care staff who were recruited safely. People were not always supported safely and effectively due to the registered manager and care staff not having the skills to recognise any deficiencies in care.

People were not supported to have maximum choice and control of their lives. We could not be certain staff supported them in the least restrictive way possible and in their best interests. The policies and systems in the service did not support good practice.

People were supported by a staff team who cared about them and had good intentions towards them. However, they were not always equipped with the skills and knowledge to recognise when care delivery was not always caring in nature. People’s privacy was respected although their independence could be promoted further.

People were not always empowered to be as fully involved with decisions about their care. Information was not always provided in an accessible format and they were not fully involved in reviews of their care.

People were not protected by effective management, quality assurance and governance arrangements. The provider and registered manager did not have a robust knowledge of current legislation, guidance and care standards. As a result they had not developed policies and processes that were of a good standard. They had also failed to recognise the deficiencies and areas of risk within the service.

Rating at last inspection

The last rating for this service was good (report published 07 October 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

At this inspection we have identified the provider was not meeting the requirements of the law in relation to safe care and treatment, safeguarding people, training and the governance of the service.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it. And it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.