Eunha Healthcare Ltd

Updated 23 November 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was announced.

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 7 November 2022 and ended on 14 November 2022. We visited the location’s office on 9 November 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 4 family members about their experience of the care provided. We spoke with the registered manager, the administrator and 2 care staff.

We reviewed a range of records. This included 2 people’s care records. We looked at 2 staff files in relation to recruitment. A variety of records relating to the management of the service, including quality monitoring, minutes of meetings and staff training.

Updated 23 November 2022

About the service

Eunha Healthcare Ltd is a domiciliary care service providing the regulated activity personal care which is help with tasks related to personal hygiene and eating, in people’s own homes. At the time of our inspection there were 5 people receiving personal care 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

Staff recruitment processes were not robust and required improvement to ensure people were supported and cared for by staff who had been vetted in a timely manner to determine their suitability to work with people.

Improvements were needed to ensure staff had a programme of induction.

Improvements were needed to ensure staff undertook training in a timely way. Staff had not undertaken training in some important topics related to the promotion of people’s safety, or linked to people’s needs, which included, safeguarding and infection prevention and control.

Improvements were needed to ensure staff consistently received ongoing support and guidance through supervision and the assessment of their competence to fulfil their role.

Systems and processes to monitor the quality of care provided need improvement. Monitoring of records was limited to one audit as to the content of daily records completed by staff about the care they provided. We found missing staff signatures on a person’s medication administration records. These had not been audited. The registered manager was unaware of the missed signatures and therefore a missed opportunity to learn lessons and bring about the necessary changes to bring about improvement.

Improvements were needed to ensure the registered manager followed the provider’s policies and procedures for governance and the recruitment, induction, training and ongoing support of staff.

Systems and processes were in place to support people’s safety. People’s needs, including their safety were assessed and monitored. People and family members said the service was reliable. People’s needs in relation to their medicines were recorded within their care records. People and family members told us staff wore aprons, masks and gloves to help reduce the risk of cross infections.

People’s needs were assessed and kept under review. People, and in some instances family members were involved in the assessment process. People’s health care needs were documented and staff liaised with health care professionals when required.

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; the policies and systems in the service supported this practice.

People and family members spoke of the kind and caring approach of staff. People told us they were actively involved in decisions about their care, and that their views were respected by staff.

People were involved in the development and reviewing of their care and support package. People were aware of how to raise a concern and spoke of any concerns they had raised were listened to and acted upon.

People’s views and that of staff members were sought through surveys. People’s and family members feedback was in the main positive. Staff feedback was positive regarding support provided by the management team. However, some staff had said they would like classroom-based training in addition to on-line training, which the registered manager had acted upon.

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 23 September 2021 and this is the first inspection.

Why we inspected

This was a planned inspection.

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 action 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 recruitment, induction, training and ongoing monitoring and support, including supervision. We have found systems and processes were not sufficient to monitor the quality of the service, and that the provider’s policies and procedures were not followed in full.

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 from 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 continue to monitor information we receive about the service, which will help inform when we next inspect.