- Homecare service
Gain Healthcare Ltd
Assessment report published 16 June 2025
Contents
Ratings
Our view of the service
Date of Inspection:22 January 2025 to 25 February 2025. The service is a domiciliary care and supported living service providing the regulated activity of personal care. This inspection was in response to CQC receiving information of concern.
The inspection was prompted in part by information of an incident following which a service user was at risk of financial abuse. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident.
Systems in place to report and investigate safeguarding concerns were not always effective. Concerns relating to abuse were not always reported.
Systems were in place to identify and manage risks to people. However, these systems were not always effective, and interventions did not always result in positive outcomes.
There was a range of checks and audits to monitor the quality and safety of the service and to help drive improvements. These included checks on risks to people, care plan reviews, spot checks and medicines. However, these systems were not always effective. Audits failed to identify our concerns relating to safeguarding, notifications and risks to people’s care and support. The provider did not always notify CQC of reportable events. A notification is information about important events which the provider is required to send us by law . These are breaches of Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Regulation 17 Good governance and the Care Quality Commission (Registration) Regulations 2009: Regulation 18
Medicines were managed well, and people received their medicine as prescribed. Staff were suitably employed and trained and had access to further training when required. Staff spoke positively about the management at the service and told us they felt supported.
People's experience of this service
People and those important to them gave mixed reviews about the quality of care. People did not always feel safe at the service, one person said staff were difficult to understand because of their accents. Another person said they wanted to move to a new provider as they were unhappy with their care. Some relatives said communication with management was not good. However, one relative stated, “Staff are amazing.”