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Agincare UK Medway Requires improvement

We are carrying out a review of quality at Agincare UK Medway. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 October 2020

About the service

Agincare UK Medway is a domiciliary care agency providing personal care to about 161 people at the time of the inspection. Most of the people who used the service were older people. Everyone who used the service received personal care. The Care Quality Commission (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.

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

People were generally happy with the care and support provided.

However, while care staff were trained in certain areas with the right skills and knowledge to provide people with the care and assistance they needed, the training programme did not contain adequate provision for dementia, epilepsy, diabetes, catheter care and Huntingdon’s disease, which was relevant to the people supported. We have made a recommendation about this.

Although, there was an audit system in place to check the quality of the service, audits records were not robust and had not been updated when actions had been completed. The new manager only gave us feedback on steps to being taken to resolve the concerns. We have made a recommendation about this.

People and staff felt communication with office staff could be improved upon. This is an area for improvement.

At the time of our inspection, the service had a new manager in post who was undergoing registration with the Commission. This meant there was no registered manager in the service.

Since our last inspection, the provider had ensured that medicines were managed safely or in line with best practice. Medication administration charts were completed accurately. Staff had been trained and their competency checked.

Care plans contained risk assessments which were appropriately linked to their support needs. Risks were consistently assessed and there were information for staff about how to support people to remain safe in care plans.

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

Rating at last inspection and update

The rating at the last inspection was Requires Improvement (published 17 September 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider had improved the service by ensuring that medicines were managed safely. However, the provider requires further improvement in the operation of adequate quality assurance system.

Why we inspected

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at the entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of the key question.

We undertook this targeted inspection to check whether the Requires Improvement we previously gave in relation to regulations 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. The inspection was prompted in part due to concerns received about medicine administration and staffing. A decision was made for us to inspect and examine those risks. The overall rating for the service has not changed following this targeted inspection and remains Requires Improvement.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of 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 discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to

Inspection areas

Safe

Requires improvement

Updated 8 October 2020

At our last inspection we rated this key question Requires Improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Effective

Good

Updated 8 October 2020

Caring

Good

Updated 8 October 2020

Responsive

Good

Updated 8 October 2020

Well-led

Requires improvement

Updated 8 October 2020

At our last inspection we rated this key question Requires Improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.