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HF Trust - Wiltshire DCA Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 20 March 2021

About the service

HF Trust – Wiltshire DCA is a domiciliary care agency providing personal care to 10 people who have a learning disability and/or autism. People lived in a ‘supported living’ setting. Supported living services enable people to live in their own home and live their lives as independently as possible. Not everyone using 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 lived in two bungalows and two flats on a site shared with other services managed by the provider. There was also a house in a nearby town which provided accommodation for five people. There were shared facilities available on site which included a day service, an activity hall and administration offices.

People’s experience of using this service and what we found

People were supported by staff who had been recruited safely. All the required pre-employment checks had been carried out. There were sufficient numbers of staff to support people, which included some use of agency staff. Staff rotas were planned in advance so regular agency staff could be booked.

People’s medicines were being managed by staff who had training. Any medicines incidents had been reported to the local authority and we had received a notification informing us of the incidents. The management team continually reviewed the medicines policy and we could see it was discussed in team meetings.

There is an imposed condition on the registration for this service to submit to CQC a monthly report of their audits which we had received regularly. The provider had also carried out quality monitoring audits at the service which identified areas for improvement. Action plans were in place recording who was responsible for carrying out actions and by when. This was monitored by the registered manager and provider.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 10 October 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve.

Why we inspected

We undertook this targeted inspection to check on specific concerns we had about staff recruitment and staff working hours, medicines incidents and some areas of management. The overall rating for the service has not changed following this targeted inspection and remains requires improvement.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

Follow up

We will continue to monitor information we receive about the service until we 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 20 March 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 20 March 2021

Caring

Good

Updated 20 March 2021

Responsive

Good

Updated 20 March 2021

Well-led

Requires improvement

Updated 20 March 2021

The service was not always well-led.

Details are in our well-led findings below.