MAM T Healthcare Services

MAM T Healthcare Limited is a domiciliary care agency providing personal care to people in their own homes. The service was supporting one person. At the time of the inspection, two members of staff who worked at the person’s accommodation were also employed by MAM T healthcare to provide personal care to this person.

People’s experience of using this service and what we found

Risk assessments were not always carried out to ensure potential risks to the person were identified and managed safely. The registered manager was not checking and ensuring staff were being tested for COVID-19 in line with government guidance.

The registered manager was not monitoring call times due to the size of the service. This meant we were not assured that care was always carried out at the agreed times. We have made a recommendation to the registered manager to establish systems to monitor care calls to ensure people receive care at their agreed times.

The registered manager was not aware of their responsibilities under the accessible information standard. We made a recommendation to the provider to attend training and update their working practices.

Due to the size of the service the registered manager did not have systems in place to monitor the quality of the service. This meant the registered manager did not have adequate quality assurance systems in place to improve service delivery and to review the care that was being provided to this person.

The registered manager did not have up to date care plans in place which meant there was not detailed information about how people would like their care to be received.

The registered manager had not provided training to the staff team as they had sought evidence of training certificates from previous employers which demonstrated that they had the appropriate skills to care for people.

Staff understood the provider’s safeguarding policies and were familiar with the reporting procedures.

The person’s relative was happy with how the care and support was being delivered and felt that the care staff were kind and helpful.

The person was supported to have maximum choice and control of their life and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

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

Rating at last inspection

The service was registered on 05 November 2021, but it was previously registered at a different location. This was the service’s first inspection.

Why we inspected

We carried out this inspection following a routine review of information we held about this service. Our intelligence indicated there may be a higher level of risk at this service due to the length of time it had been registered and not been inspected.

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 enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We identified breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 relating to safe care and treatment (regulation12) and good governance (regulation 17). Please see the 'action we have told the provider to take' section towards the end of the report.

Follow up

We will continue to monitor intelligence we receive about the service which will dictate when we return to inspect. If any concerning information is received, we may inspect sooner.