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Mencap East Hampshire Domiciliary Care Agency Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 May 2019

About the service:

Mencap East Hampshire is a domiciliary care agency and is registered to provide personal care to people in their own homes, some of whom lived in a ‘supported living’ environment. It provides a service to adults who have a learning disability or autistic spectrum disorder and younger adults. Not everyone using Mencap East Hampshire Domiciliary Care Agency received a regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of the inspection they were providing personal care to six people across Hampshire.

What life is like for people using this service:

People did not always receive a service that provided them with safe, effective and high-quality

care. risk management was not always effective. This meant that people could be at risk of harm.

The management of medicines had improved since the last inspection; however, further improvements were required.

Not all care plans covered a full range of people’s needs and some lacked guidance for staff.

Staff received regular support and supervision however, the provider was unable to demonstrate that staff’s concerns had been responded to and acted upon. Staff told us they felt well supported by the registered manager and had enough training to undertake their roles effectively.

Quality assurance processes were in place but needed some further development to ensure they were always effective in identifying areas for improvement promptly, as well as identifying trends.

People told us that care workers were good and that they were happy with the service being provided. Staff knew what was important to people and ensured people had support that met their needs and choices. People’s dignity and privacy was respected, and their independence was promoted.

Rating at last inspection: Requires Improvement (report published 13 February 2018)

Why we inspected: This was a planned comprehensive inspection.

Follow up:

At the last inspection this service was rated ‘requires improvement’, at this inspection the rating remained the same. As the service is rated as requires improvement again we will meet with the provider following this report being published to discuss how they will make changes to ensure the service improves their rating to at least Good. We will request an action plan from the registered provider about how they plan to improve the rating to good and in addition, we will monitor all information received about the service to understand any risks that may arise and to ensure the next planned inspection is scheduled accordingly.

More information is in the detailed findings below.

Inspection report


Inspection areas

Safe

Requires improvement

Updated 9 May 2019

The service was not always safe

Details are in our findings below.

Inspection report


Effective

Good

Updated 9 May 2019

The service was effective

Details are in our findings below.

Inspection report


Caring

Good

Updated 9 May 2019

The service was caring.

Details are in our findings below.

Inspection report


Responsive

Good

Updated 9 May 2019

The service was responsive

Details are in our findings below.

Inspection report


Well-led

Requires improvement

Updated 9 May 2019

The service was not always well-led

Details are in our findings below.

Inspection report