24 August 2022
During a routine inspection
People's experience of using the service and what we found
Robust record keeping was not in place to support the delivery of care. Staff supervisions and competency checks were not consistently recorded. Staff were up to date with training, however, there was limited oversight of training.
The person receiving care was safe and protected from the risk of abuse and avoidable harm. There were systems in place to identify lessons to be learnt. The provider held meetings with staff to share lessons learnt. However, this was not always documented.
The provider did not record late visits, however, staff told us they had enough time on visits to allow them to complete all the necessary care. There was support in place for staff. All staff received shadowing shifts and induction when they started at the service. Staff told us there was regular supervision and competency checks, however, this was not always documented.
Specific capacity assessments and best interest decisions were clearly documented. The person receiving care was given choice about how they liked their care and support to be given. Relatives told us they were supported by staff who were kind and caring. The person receiving care was asked about their desired outcomes and what they needed staff to do to support them. This meant views and opinions were understood and acted on. Staff respected dignity and privacy and promoted the persons independence. Care plans were personalised to reflect care needs. The person using the service likes, dislikes and what was important to them were recorded in their care records.
The feedback about management and leadership was positive. Staff told us they felt supported and leaders were approachable. One staff member said, "The manager is really nice, they help me with the training and stuff. They always keep in touch.”
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection
This service was registered with us on 6 May 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service. You can see what action we have asked the provider to take at the end of this full report.
Enforcement
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 good governance at this inspection.
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.