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K.C. Carers Limited Requires improvement

This service was previously registered at a different address - see old profile

We are carrying out a review of quality at K.C. Carers Limited. 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 7 February 2020

About the service

K.C. Carers is a domiciliary care agency providing personal care and support to people in their own homes. The service was supporting 53 people at the time of inspection.

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

The registered manager had a lack of oversight of the service. This meant that they had not identified concerns or issues, and therefore had not acted to make improvements. Systems and processes put in place to improve the service were not yet established or embedded.

The registered manager had failed to promote a positive staff culture. Staff had not acted in accordance with their safeguarding responsibilities.

People’s medicines were managed in a safe way in their homes. However, medicines were stored unnecessarily and insecurely in the provider’s office building.

Systems and records relating to complaints and concerns were disorganised. Policies and procedures were not kept up to date to ensure they were in line with current best practice.

Safe recruitment practices were not always followed. There were enough staff to meet people's needs and people received their care at the agreed times. People received care from staff they knew. Staff gained people's consent before providing personal care.

People and relatives spoke positively about staff and management. They felt safe. People were protected from risks such as falls and environmental hazards by detailed, regularly updated risk assessments.

People had person-centred care plans which detailed their strengths and where they required support. Their communication needs were assessed and recorded.

People and their relatives were involved in the planning and delivery of their care, and the registered manager sought feedback.

People were supported to access the community. Staff sought support from health and social care professionals as required.

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

The last rating for this service was Good (published 24 October 2018).

Why we inspected

The inspection was prompted in part due to concerns received about safeguarding and staff culture. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the Safe, Caring and Well-Led sections of this full report.

Enforcement

We have identified breaches in relation to dignity and respect, safeguarding 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 for 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 7 February 2020

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 7 February 2020

The service was effective.

Details are in our Effective findings below.

Caring

Requires improvement

Updated 7 February 2020

The service was not always caring.

Details are in our Caring findings below.

Responsive

Good

Updated 7 February 2020

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 7 February 2020

The service was not always well led.

Details are in our Well-Led findings below.