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Carepoint Limited t/a Alternative Care - Suite 1 Parkside House Requires improvement

We are carrying out a review of quality at Carepoint Limited t/a Alternative Care - Suite 1 Parkside House. 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 12 February 2021

About the service

Carepoint t/a Alternative Care is a domiciliary care service providing personal care to people with a variety of needs including dementia, physical disability and sensory impairment. Older people and younger adults, including people with learning disabilities and/or autistic spectrum disorder.

People are supported in their own homes, at the time of this inspection, 183 people were receiving personal care from the service.

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.

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

At our last inspection the registered manager had failed to ensure systems and processes related to safeguarding were established and operated effectively to investigate, immediately upon becoming aware of any allegation or evidence of such abuse. At this inspection we found improvements had been made and that concerns were being responded to as required. Staff had received safeguarding training and understood processes to report concerns.

It was previously found that people may be at risk by lack of information related to gaps in work history of staff during their application. During this inspection we found that not all work history or references had been taken appropriately. The new manager informed us they had plans to introduce the requirement for whole work history to be taken to ensure that there was no gap in information provided by staff.

During the previous inspection we also found that systems were not in place to manage safety and quality effectively. Complete, accurate and contemporaneous records were not kept to ensure good governance. At this inspection we saw that the new manager had started to bring together information to have an oversight of the service, however not all concerns had been identified effectively. Some risk assessments were in place, but where new concerns had arisen additional risk assessments had not always been implemented.

We found that although there had been previous medicines errors and missed medicines there were actions being taken by the manager to minimise these. However, records for medicine administration were not always completed appropriately.

Care plans were detailed, and person centred. People had been involved in their completion and updating. Staff were aware of information held within care plans and risk assessments.

People were happy with the service they received. People did not experience missed calls nor a high number of late calls. The manager was aware that weekends were sometimes more problematic when ensuring staff arrived on time and was dealing with this to minimise any disruption to people using the service.

People felt safe when staff attended to them and confirmed staff wore PPE (personal protective equipment) when entering their home and supporting them. People felt supported safely by a consistent staff group.

Staff worked in partnership with external healthcare professionals to ensure people’s healthcare needs were met.

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 last rating for this service was requires improvement (published 23 May 2019) and there were breaches of regulation within the safe and well led domains. 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 some improvements had been made and the provider was no longer in breach of regulation 13, however they were still in breach of regulation 17.

Why we inspected

We received concerns in relation to the management of medicines and lack of registered manager. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed t

Inspection areas

Safe

Requires improvement

Updated 12 February 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 12 February 2021

Caring

Good

Updated 12 February 2021

Responsive

Requires improvement

Updated 12 February 2021

Well-led

Requires improvement

Updated 12 February 2021

The service was not always well-led.

Details are in our well led findings below.