4 July 2019
During a routine inspection
Open World 2 Limited is a domiciliary care service registered to provide personal care support to people with a learning disability, and autism spectrum disorder. 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. At the time of the inspection, one person was receiving personal care support. Care was provided by the registered manager and at present they did not employ any staff.
People’s experience of using this service and what we found
The person who used the service said they felt safe, the registered manager was kind and the care received was good. The registered manager had a good understanding of their responsibility with regard to safeguarding adults.
The provider had not always identified risks to people who used the service or put in place guidance on how to reduce risks where these were identified. The provider had not always updated people's risk assessments to reflect their changing needs. We have made a recommendation about assessing the risks to people.
Care records were personalised and contained information about people’s life history, likes and dislikes. However, we found the care plan lacked detail for specific tasks. We have made a recommendation about personalised care planning.
The provider did not have robust systems in place to check the quality of the service provided. This was in relation to risk assessments and reviews, record keeping and person-centred care.
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.
The person told us they were treated with dignity and respect.
People’s cultural and religious needs were respected when planning and delivering care. Discussions with the registered manager showed that they respected people’s sexual orientation so that lesbian, gay, bisexual, and transgender people could feel accepted and welcomed in the service.
The provider had a complaints procedure in place. People knew how to make a complaint.
At the time of our inspection the service did not have any people receiving end of life care. The service had an end of life policy in policy.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
At the last inspection of the service we were unable to gather sufficient evidence to provide a rating for the service (published 14 January 2019).
Why we inspected
This inspection was part of our routine scheduled plan of visiting services to check the safety and quality of the care people received.
Enforcement
We identified one breach of the Health and Social Care Act (Regulated Activities) Regulations 2014 around good governance.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.