Hartwig Care (Bexley)

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

We found that the provider failed to carry out pre-assessments before people used the service. Appropriate risk assessments were not always completed, and risk management plans were not always in place to manage these risks, which included choking, skin integrity, equipment, falls, malnutrition, bedrails, Parkinson’s, multiple sclerosis and epilepsy.

Staff were not always deployed to meet people's needs in a timely manner. There was a system in place to log and investigate accidents and incidents, however, these were not analysed and learning from this was not disseminated to staff. Staff had not received training in catheter care that could be evidenced. People’s independence was not always promoted, and people’s privacy and dignity was not always respected.

People or their relatives were not always involved in planning their care and support. People or their relatives’ consent to care and support was not always documented. Governance systems were not always effective at identifying and reducing risks to people's safety.

Overall, medicines were safely managed. People were protected from the risk of infection. Appropriate recruitment checks were carried out before staff joined the service. There was a complaints system in place to manage people concerns effectively. Staff were supported through regular supervisions.

Rating:

This was the first inspection of the service.

Why we inspected - This was a planned comprehensive inspection.

Enforcement and Recommendations:

We have identified breaches in relation to safe care and treatment, staffing, person-centred care, dignity and good governance at this inspection.

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

You can see what action we have asked the provider to take at the end of this full report. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Hartwig Care Limited – Bexley on our website at www.cqc.org.uk.