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Caterham Domiciliary Care Agency Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 April 2019

About the service: Caterham Domiciliary Care Agency provides personal care and support to people living in their own homes and to 15 people living in four properties owned by the provider. Services are provided to older people, people with mental health issues, physical and learning disabilities and sensory impairment. At the time of the inspection 61 people were receiving care in their own homes.

People’s experience of using this service:

Staff were not always ensuring that the risks to people were assessed. Care plans did not always have guidance on how to reduce the risks to people. The management of medicines was not always undertaken in a safe way and there was no evidence that staff were competently assessed in relation to medicines administration. There was no formal recording of accidents and incidents and no evidence that they were being analysed for trends.

People’s rights were not always being protected as staff were not working within the principles of MCA. Staff required more detailed training and supervisions to ensure that they were providing the most appropriate care.

People and their representatives were not always informed of the choices around the care delivery. There was not always detailed guidance for staff around the specific needs of people. Daily notes were task focused and did not provide detail on the person’s care. Quality assurance systems were not robust and the provider and registered manager lacked understanding of the requirements of the regulations.

People and their relatives were complimentary about the caring nature of staff. People were supported to access health care when they needed. Staff always turned up to the call and stayed for the duration of the call. People said that staff treated them with dignity and respect. Staff said they felt supported and valued by the management team. People fed back positively about the leadership of the service.

Rating at last inspection: Good. The last report was published on the 12 August 2016.

Why we inspected: This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Enforcement: Action we told provider to take (refer to end of full report)

Follow up: We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for future dates.

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

Inspection areas

Safe

Requires improvement

Updated 9 April 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 9 April 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Requires improvement

Updated 9 April 2019

The service was not always caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 9 April 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 9 April 2019

The service was not always well-led.

Details are in our Well-Led findings below.