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Care at Home Group Warrington Inadequate Also known as Care At Home Group

Inspection Summary


Overall summary & rating

Inadequate

Updated 16 December 2020

About the service

Care at Home Group Warrington provides care and support to people in their own homes across the Warrington area. 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. At the time of the inspection there were 71 people using the service.

People's experience of using the service and what we found

People’s health, safety and wellbeing were sometimes put at risk due to a number of concerns identified during this inspection. Risk management was not always consistent, and people and family members did not always feel assured about their safety.

Staff did not always have the right skills, knowledge or experience to carry out their role safely and effectively. Concerns with staff numbers and the poor organisation of their rotas placed staff under additional pressure. This often resulted in people receiving their calls late and not for the agreed amount of time. Lateness of staff sometimes resulted in people’s prescribed medicines not being administered at the right times.

There were not enough assurances that the service consistently met current national guidance and standards in relation to infection prevention and control (IPC). Staff had limited knowledge about some IPC procedures, including the removal and disposal of personal protective equipment (PPE). The provider did not always make sure that adequate measures were in place to prevent the spread of infection; particularly in relation to COVID-19.

Whilst people’s needs had been assessed and plans were in place, staff did not always have access to relevant, up-to-date information. Staff told us they often did not have time to read people's care plans and that care plans were not always available in people's own homes.

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. However, systems in place did not always support this practice. For example, the outcome of mental capacity assessments completed by the provider did not always accurately reflect the answers given.

Mixed feedback was received from people and family regarding the management of the service. Some described it as ‘disorganised’ and ‘poor communication and record keeping’. Staff told us they felt the service was disorganised due to lack of consistent management and limited office staff support.

There were widespread, significant shortfalls in the way the service was led which had resulted in multiple breaches of regulation. Governance systems were not robust enough to identify issues and drive improvement. Staff told us they did not feel involved, appreciated or engaged with.

Rating at last inspection and update - The last rating for this service was requires improvement (published 26 June 2019) and there were multiple breaches of regulation.

Why we inspected

We carried out an announced comprehensive inspection of this service on 30 May and 6 June 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe car and treatment, staffing and governance.

The inspection was also prompted in part due to concerns received about staffing, lack of staff training and infection control. A decision was made for us to inspect and examine those risks.

We undertook this focused inspection to check the provider had followed their action plan, to inspect and examine areas of concerns received and to confirm they now met legal requirements.

This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating th

Inspection areas

Safe

Inadequate

Updated 16 December 2020

This service was not safe.

Details are in our safe finding below.

Effective

Requires improvement

Updated 16 December 2020

This service was not always effective.

Details are in our findings below.

Caring

Good

Updated 16 December 2020

Responsive

Requires improvement

Updated 16 December 2020

Well-led

Inadequate

Updated 16 December 2020

This service was not well-led.

Details are in our findings below.