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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.

Reports


Inspection carried out on 11 December 2019

During a routine inspection

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 carried out on 2 August 2017

During a routine inspection

K.C. Carers provides personal care to people living in their own homes. At the time of the inspection they were providing care to 44 people living in Northamptonshire.

At the last inspection in August 2015, the service was rated Good. At this inspection we found the service remained Good.

People continued to receive care and support from K.C. Carers in a way that maintained their safety. Risks to people had been assessed and steps taken to mitigate people’s assessed risks. People could be assured that sufficient numbers of staff were available to provide their care and that they would receive their prescribed medicines safely.

The staff providing people’s care had received the support, supervision and on-going training that they needed to provide people’s care effectively. People were supported to maintain adequate nutrition and staff promptly referred people to medical professionals when required.

People continued to be consistently treated with dignity and respect and staff worked in a way that maintained people’s privacy. Staff were committed to providing care according to people’s individual preferences.

There was a strong system of quality assurance overseen by a visible and supportive management team. The management team was committed to the on-going development of the service and responded positively to suggestions and comments from people, commissioners and staff. The management team encouraged an open culture that promoted person centred care for the people that K.C Carers supported.

Further information is in the detailed findings below.

Inspection carried out on 26 June and 2 July 2015

During a routine inspection

This announced domiciliary care inspection took place over two days on the 26 June and 2 July 2015.

K.C.Carers is a domiciliary care agency that provides care and support to adults that live at home throughout Northamptonshire, although predominantly in and around Daventry and the surrounding rural villages.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social care Act 2008 and associated regulations about how the service is run.

People were cared for in their own homes by trained care workers that were able to meet people’s needs safely. People’s needs were assessed before the agreed service was provided. There were sufficient numbers of care workers employed to meet people’s needs. People had been kept informed in a timely way whenever care workers were going to be arriving late, or when another care worker had to be substituted at short notice.

People were protected from the risks associated with the recruitment of care workers by robust recruitment systems and appropriate training. Risk assessments were in place to reduce and manage the risks to peoples’ health and welfare.

People’s care plans reflected their needs and choices about how they preferred their care and support to be provided. People were encouraged to be involved in the development and review of their care plan.

People were treated with dignity and their right to make choices about how they preferred their care to be provided was respected. Care workers were caring, friendly, and responsive to people’s changing needs. People received support from care workers that were able to demonstrate that they understood what was required of them to provide people with the care they needed.

People’s rights were protected. People knew how to raise concerns and complaints. Complaints and allegations were appropriately investigated and action was taken to make improvements to the service when this was found to be necessary.

There were systems in place in place to assess and monitor the quality of the service. People’s views about the quality of their service were sought and acted upon.