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North London Asian Care Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 28 April 2020

About the service

North London Asian Care is a non-profit making registered charity that provides personal care to people living in their own homes. It provides care and support to adults of all ages, but most of the people using the service at the time of our inspection were older people. The service specialises in providing a service for people from an Asian background but also supports people from all ethnic groups. At the time of the inspection there were 103 people using the service.

People’s experience of using this service and what we found

People’s care plans were not person centred and were task focused.

There was mixed feedback about the competence of staff. Staff did not receive regular supervision. We have made two recommendations about person centred care planning and assessing staff competence and performance.

We received some feedback about instances of poor staff communication and timekeeping concerns. Medicines records did not accurately and consistently reflect the support people needed particularly in relation to topical creams.

Risk assessments lacked guidance in relation to managing and mitigating risks to ensure people are safe.

There were systems in place to assess and monitor the quality of the service provided. However, were not sufficiently robust to identify that improvements were needed in relation to risk assessments, medicines, staff timekeeping and communication, staff competence and regular supervision and care plans not being person centred.

People told us they felt safe using the service. Staff followed appropriate infection control practices. Accident and incidents were recorded and acted upon. Any lessons learnt were used as opportunities to improve the quality of service.

Assessments were carried out prior to people joining the service to ensure their needs could be met. People were supported to maintain good health and access to a range of healthcare services when needed. People were supported with their food and drink.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

There were procedures in place to respond to complaints. The provider had investigated and responded promptly to any concerns received.

The provider worked in partnership with healthcare services and professionals to plan and deliver an effective service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 1 September 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified four breaches in relation to safe care and treatment, deployment of staff, person centred care and 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 28 April 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 28 April 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 28 April 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 28 April 2020

The service was not always responsive.

Details are in our responsive findings below

Well-led

Requires improvement

Updated 28 April 2020

The service was not always well-led.

Details are in our well-Led findings below.