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Archived: Kumari Care Limited

5 Palace Yard Mews, Queen Square, Bath, Somerset, BA1 2NH (01225) 428449

Provided and run by:
Kumari Care Limited

Important: This service is now registered at a different address - see new profile

All Inspections

5 November and 5 December 2013

During an inspection looking at part of the service

We carried out a follow up inspection to check the provider had achieved compliance. At the previous inspection we judged the provider had not fully met three outcomes for compliance of essential standards of quality and safety. These outcomes included outcome 1: respecting and involving people who use services, outcome 4: care and welfare of people who use services and outcome 16: assessing and monitoring the quality of service provision.

We used questionnaires to gather the views of people who used the agency. We received responses from 22 people and overall they were satisfied with the service being provided by Kumari Care Limited DCA. Although some people made positive comments minor concerns were raised. These concerns centred on inadequate planning from office staff and lack of consistency between regular staff and new staff.

We spoke with a member of staff who told us they had received an induction to prepare them for the role they were to undertake. However, the manager was not able to show staff had been fully assessed to perform the role they were employed to perform. This member of staff said they were told about people changing needs. We were informed people using the agency had regular carers and they were not expected to rush the delivery of care. It was explained 'I don't rush I take my time if I am running late I contact the office. The office will then contact people and tell them I am running late.'

4, 5 June 2013

During a routine inspection

We visited five people in their own homes and four people told us they received personal care from regular carers who knew them. One relative of a person who used the agency told us the personal care delivered by the staff did not take account of their relative's cultural background.

The people new to the agency told us an assessment of need had taken place and they were asked how they wanted their care to be delivered. Four people told us the staff knew how to meet their needs and visits from the agency supervisor had taken place to ensure they were receiving the care they needed. They told us staff knew the signs of deterioration for example skin breakdown and the staff worked well with other professionals.

We saw there were personalised care plans for two people we visited, but three people did not have a copy of their care plan.

We spoke with an occupational therapist (OT) who told us they had observed the staff use the correct equipment and techniques needed to support people with mobility needs.

Staff's competency was tested before they administered medicines, but they were using practices that were open to mistakes.

26 October 2012

During an inspection in response to concerns

The people we visited and their families told us they received good and consistent care when they had regular staff to provide personal care. Although people said they were not asked about their likes and preferences, we were told regular staff knew how they liked their care to be provided. People and their families said care was inconsistent when other staff covered for the regular staff. One person said they did not have regular staff visit them, which meant staff were not familiar with their preferred routines. One family told us that a member of staff arrived unprepared for their relative's cultural needs and left without providing personal care. Another person said 'I have had no problem with Kumari' and a third person said 'I'm happy with the care provided'.

We saw a member of staff interact with one person in a way that met their cultural and religious beliefs. When we spoke to another member of staff about meeting people's equalities and diversity needs, this member of staff used inappropriate language which showed a lack of understanding.

The five people we visited and their families said they felt safe from abuse when the staff delivered personal care. They said they knew who to approach with complaints and they were certain their concern would be taken seriously.

People said they thought the agency had enough staff and they had regular staff that stayed for the contracted package of care. One person told us staff were sometimes were late.

18 April 2012

During a routine inspection

In December 2011 we carried out a review of Kumari Care domiciliary care agency and identified some areas where the service needed to make improvements. Following the review, the registered provider Kumari Care Limited told us about the changes they intended to make. The purpose of this review was to visit the service to check on the improvements. The areas we were concerned about were: care and welfare of people who use services, management of medicines, and supporting staff.

We spoke with people who used the service and visited them in their own homes to look at the records that they kept. We spoke with the provider and the manager and looked at care records to ensure that the changes that were needed had been implemented. We saw that the manager had reviewed people's care plans to ensure they contained up to date information and that any changes were included in those plans. The manager had ensured people's life histories were on their care files. We saw that staff were sufficiently supported by increased spot checks: this meant that the service was more aware of the practice of staff members in people's homes. The recording for the management of medicines had improved.

The manager told us 'we have taken the last inspection very seriously. To make sure we could meet the compliance actions we have taken on fewer clients. We have made sure that we only take on new people if we can meet their needs".

A senior staff member told us 'I do about three or four spot checks every week. The staff know I am there and get a lot of support from me. They also know that I am there to make sure that they are doing their job properly".

One person told us 'I am happy with the service. They know what I need doing and they do it well. I feel very fortunate to have them. They always ask me if I have taken my medicines".

19 December 2011

During a routine inspection

We met with three people who used the service in their homes. One person told us that they thought that the service was good. Another person told us that they liked one particular member of staff as they gave them an overall good service and arrived at the agreed time in the care plan. This person also expressed concerns about the time keeping of all other members of staff.

We were also told about an incident where a staff member had left the hot water tap running and had left the home. This meant that this person they were supporting was put at risk as they had limited mobility and were unaware that the tap was on and unattended.

A member of staff told us "I always visit the same people so they know me really well and I know what they want'.

Staff members told us about the way they managed the administration of people's medication. We found that people were not always given sufficient information about the administration of their medication.

Three people told us that they have all of the contact details they need in their care folder and were confident that the service would respond to any complaints if they had them. They all said that they or their relatives would contact the office if they were unhappy.

We saw that the manager monitored the levels of accidents, incidents and complaints to ensure that people who live in the home are safe. We saw that there was no analysis of the findings, or actions taken from the client satisfaction questionnaires. This meant that the service was not adapting care to meet the needs of people who use it.