About the service Zach's Care provides personal care to people living in their own homes. The service provides care for people with diverse needs, including people living with dementia, mental health conditions and support needs relating to mobility. 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. At the time of our inspection, 22 people using the service received a regulated activity.
People’s experience of using this service and what we found
People did not always receive their prescribed medicines safely. Risks to people, such as falls, health conditions and emotional distress, were not always safely managed. People were protected from abuse, staff were recruited safely, and enough staff were deployed to meet people's needs.
People were not always supported to have maximum choice and control of their lives as the provider had not always ensured they worked in line with the principles of the mental capacity act. People were not always supported in the least restrictive way and in their best interests. the provider’s policies aligned with the principles of the mental capacity act, however the provider had not always implemented this effectively.
Care plans were not promptly implemented when people started to use the service and did not always provide person-centred information about meeting peoples’ needs and preferences. However, staff received training induction and supervision. People were supported to access healthcare services.
People told us staff treated them with respect and dignity. Staff promoted people's independence by ensuring people were offered choices. People told us the service was caring.
End-of-life care planning had not yet been considered for people. Information was not always available to staff about meeting people's communication needs. Systems were in place to respond to complaints effectively, and people felt confident about raising concerns.
The provider had not operated effective systems to monitor the safety of people's medicines and follow up on related concerns. Available sources of information were not used effectively to ensure risks to people were well managed. However, people and their relatives felt positive about their experience of the care provided. Staff were regularly engaged with and supported. The provider was open and honest and worked well in partnership with others.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there was a person using the service who had a learning disability and or autism.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 22 February 2022, and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement and Recommendations
We have identified breaches in relation to safe care, person centred care, consent and good governance at this inspection. Please see the action we have told the provider to take at the end of this report. Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.