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Archived: Care Associates (Recruitment) Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 July 2019

About the service

The service provided personal care to adults living in their own homes. At the time of our inspection, the service provided personal care to 11 people. 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

Procedures to protect people from abuse were not up to date and staff had not received adequate safeguarding adults training. Staff were not always recruited safely and new staff had not received a full induction. They were not fully supported with essential training and development to ensure their skills and knowledge were up to date.

Not all staff felt supported by the management team. The registered manager was not available for our inspection and did not work full time at the service. The care manager was responsible for the day to day running of the service. They carried out checks to ensure staff were providing a good standard of care.

Quality assurance systems in the service had not been implemented to follow up on recommendations we made at our last inspection, which meant the service had not sufficiently developed and improved.

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. However, staff were not confident in explaining the principles of the Mental Capacity Act (2005).

People told us they were safe and were familiar with staff who provided care to them. They were happy with the service they received. Risks associated with people’s needs were assessed and staff understood how to reduce these risks. Staff arrived at times that suited people.

People were supported with their medicines. They were supported with maintaining their health and had access to health care professionals, such as GPs, when required.

Staff treated people with dignity and respected their privacy. Staff were kind and compassionate towards people and maintained positive relationships with them. They understood people’s needs, preferences and what was important to them. People’s independence was promoted.

Care plans were person-centred and detailed people’s support needs. People and relatives knew how to make complaints and were able to provide their feedback about the service.

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 on 25 October 2016, the service was rated ‘Good’ (report published 16 December 2016). At this inspection the rating has deteriorated to 'Requires Improvement'.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We identified two breaches of Regulations associated with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

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 monitor the progress of the improvements working alongside the provider and local authority. We will return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 27 July 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 27 July 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 27 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 27 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 27 July 2019

The service was not always well-led.

Details are in our well-led findings below.