All inspections: Ros and Mos House Support Ltd

Date of Assessment: 25 February to 7 March 2025. This service is a care at home agency providing support to adults of all ages. CQC only inspects where people are receiving the regulated activity of personal care. This is help with tasks related to personal hygiene and eating. Where they do, we consider any wider social care provided. At the time of this assessment, 4 people were receiving personal care support. At the last inspection the provider was in breach of the legal regulations in relation to their recruitment and governance systems. Improvements were not found at this assessment, and the provider remained in breach of these regulations. The provider had not completed appropriate recruitment checks to ensure staff were safely employed. The provider’s governance processes did not identify or address areas of concern. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded. At the last inspection, the provider was also in breach of the legal regulation in relation to their management of medicines. Improvements were found at this assessment and the provider was no longer in breach of this regulation. However, further improvements were needed to ensure medicines records were accurate and detailed. Risks to people’s safety were not always assessed and documented to ensure they were managed safely. The provider did not always promote a culture of continuous learning and improvement. Assessments of people’s needs lacked detail and people’s care plans were not adequately personalised. People’s capacity to give consent was not always recorded. People were treated with kindness and compassion. There were enough staff available to support people. Staff monitored people’s health and wellbeing. The provider promoted people’s equality in access to care and provided them with information in formats they could understand.

About the service

Ros and Mos House Support Ltd is a domiciliary care service providing personal care to people who live in their own houses and flats. At the time of our inspection, 5 people were using the service.

Not everyone who uses domiciliary care services receives 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 the service and what we found

People's medicines were not always managed safely and the provider's processes for checking the accuracy of people's medicines records were not robust.

The registered manager's governance arrangements did not always provide assurance the service was well led. Quality assurance systems were not robust and had not identified the shortfalls we found during our inspection. Limited information was available or recorded to demonstrate the registered manager had recognised where improvements were needed, and lessons learned to improve quality of care to people.

We received positive feedback on the service. A relative told us, ''The staff are extremely kind and caring. We have never experienced a missed visit.'' There were appropriate levels of staff to support people. People were safeguarded from the risk of abuse. Staff had received appropriate training to support people.

People were protected by the provider's prevention and control of infection practices and arrangements. People said they felt safe and had no concerns about their safety or wellbeing.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

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 13 July 2022 and this is their first inspection.

Why we inspected

This was a planned inspection because the service had not been inspected or rated.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement and recommendations

We have identified breaches in relation to recruitment practices, medicines management and quality assurance.

We have made a recommendation about care plans and risk assessments.

Please see what action we have told the provider to take at the end of the report.

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.

Ros and Mos House Support Ltd

All Inspections

During an assessment under our new approach

17 July 2023

During a routine inspection