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North London Asian Care Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 April 2021

About the service

North London Asian Care is a 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 77 people using the service.

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 generally happy with the service. They had good relationships with their care workers and said the care workers knew their needs well.

Risks identified with people’s health, care and support needs had been assessed and risk assessments had improved since the last inspection. People received their medicines safely and as prescribed. Policies and systems in place supported this.

People and relatives told us that they were supported by regular care staff who generally arrived on time.

Care staff had access to the required personal protective equipment (PPE) to prevent and control the spread of infection.

People’s care plans had improved to reflect their needs better, the service had started providing individual supervision to staff, new systems had been implemented to monitor staff arriving at people’s homes on time and to monitor whether staff had supported people to take their medicines each day.

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.

People were supported with their nutrition and hydration where this was an assessed need. The guidance on the type of food people liked to eat and whether they needed support to eat lacked detail in some cases.

The service supported people with their health by raising any health concerns with health professionals and family members when needed.

Care workers spoke positively about the registered manager and management team. They told us they felt supported and could call for advice and guidance at any time.

There were procedures in place to respond to complaints.

There had been some improvements in the management of the service since the last inspection. The registered manager had implemented some new systems and audits to monitor the quality . The registered manager and the provider were aware that further improvements were needed and they were meeting regularly to monitor improvements.

People and their relatives gave positive feedback about care workers but some negative feedback about the management team and the way they engaged with them. .

The service had a recruitment policy which included all the required checks on new staff but the policy had not been consistently applied and some required checks had not been carried out. The registered manager carried out the missing checks when we raised this concern.

We have made two recommendations. We recommended the service consider giving people a copy of their care plan in a way they can understand, for example in a language they are able to read and we have recommended that the service seek advice and training on good practice in customer relations.

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

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 28 April 2020). The service remains rated requires improvement.

There were breaches of regulations 9, 12, 17 and 18 of the Health and Social Care Act 2008 ( Regulated Activities) Regulations 2014 at the last inspection. The concerns were about lack of person-centred care plans, medicines

Inspection areas

Safe

Requires improvement

Updated 27 April 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 27 April 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 27 April 2021

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 27 April 2021

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 27 April 2021

The service was not always well-led.

Details are in our well-led findings below.