Median Wellness Ltd

Updated 13 June 2023

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

This inspection was carried out by 1 inspector.

Service and service type

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

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 18 May 2023 with an office visit and ended on 19 May 2023 with phone calls made to relatives and staff.

What we did before the inspection

We reviewed information we had received about 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

During our inspection we spoke with 1 relative of a person using the service, the registered manager, the nominated individual, the administrator, and 1 care staff. We looked at 2 people’s care plans and risk assessments, as well as other documentation such as staff files, training records, and audits.

Updated 13 June 2023

About the service

Median Wellness Ltd is a domiciliary care service providing personal care to people in their own homes. The service provides support to older people. At the time of our inspection there were 2 people using the service.

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

Risk assessments were not always in place to manage risks within people’s lives. Risks had been identified by staff, but had not been documented.

Medicines were administered safely, but documentation around medicines was not always complete.

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, the policies and systems in the service did not always support this practice.

People were provided with person centred care by kind and caring staff, who respected their privacy and dignity, however care plans did not always contain sufficient detail on people’s likes, dislikes, and preferences.

Systems and processes were not always in place to ensure that documentation such as risk assessments, person centred planning and MCA were complete.

Staff recruitment procedures ensured that appropriate pre-employment checks were carried out. Staffing support matched the level of assessed needs within the service during our inspection. Staff were supervised well and felt confident in their roles.

People being supported required minimal support with food and fluid intake, but were happy with the support they received. People’s health care needs were documented.

A complaints system was in place and was used effectively.

The management team were open and honest, and worked in partnership with outside agencies to improve people’s support when required.

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

This service was registered with us on 26 January 2022 and this is the first inspection.

Why we inspected

You can see what action we have asked the provider to take at the end of this full report.

Follow up

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