23 August 2022
During a routine inspection
Victory Social Care Enterprise is a domiciliary care service providing personal care and support to older people, younger adults and people with physical disabilities, living in their own homes. At the time of the inspection five people were being supported with personal care.
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
The provider had not effectively operated their quality assurance systems to oversee the safety and quality of the service. Shortfalls identified included staff training, lack of supervisions and poor medicines oversight.
There were also shortfalls in the quality of recording of information relating to recruitment. We have made a recommendation about this.
Despite the issues we found, people received person centred care. Relatives spoke positively about the care people received and the registered manager. They felt able to raise concerns and were confident these would be addressed. Staff knew people well and were knowledgeable about when to refer to other health professionals for advice and support. Staff provided a consistent, reliable service.
Staff developed and implemented individualised risk assessments which mitigated risks to people's safety and wellbeing. Care plans covered all aspects of people's lives and their preferences.
Systems were in place for communicating with people, their relatives and staff to ensure they were fully involved. Feedback from people and their relatives was positive.
People and their relatives were involved in making decisions about their care. Staff respected people’s privacy and dignity and promoted their independence. People and relatives were aware of the provider’s complaints procedure and felt confident to raise concerns.
Staff had good access to personal protective equipment to manage the risks associated with the spread of infection including COVID-19 and adhered to government guidance to protect people.
For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk
Rating at last inspection
This is the first inspection of this service which registered with CQC on 10 May 2021.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement and Recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to staff support, training and lack of quality performance and oversight of the service.
Please see the action we have told the provider to take at the end of this report.
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.