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Carers 4 U Ltd Requires improvement

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

Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 October 2019

About the service

Carers 4 U Ltd is a domiciliary care agency. It provides personal care, support and live in care services to adults and older people living within their own homes. Not everyone using the service may receive the regulated activity; personal care. CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of our inspection there were approximately 33 people using the service.

People’s experience of using this service

The provider had failed to ensure risks to people were appropriately assessed, recorded and managed by staff to avoid possible harm. The systems and processes in place for managing people's medicines were not always safe. Policies and procedures in place for reporting and recording accidents and incidents were not always robust to ensure peoples safety and were not conducive to learning from incidents. The providers electronic call monitoring (ECM) system was not robust or monitored to ensure people did not receive late or missed calls which potentially placed them at risk.

The provider failed to assess people’s capacity in line with the MCA and maintain a record of decisions made in people's best interests. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. We have made a recommendation about ensuring the provider follows the principles of The Mental Capacity Act (2005).

Health and social care assessments were basic and lacked important information and guidance for staff. We have made a recommendation that the provider develops a more thorough and detailed tool for assessing individual’s needs, to ensure the staff team have a clear picture of individual’s needs, preferences and wishes and how best these can be met.

Peoples end of life care and support need and wishes were not assessed or documented as part of their plan or care. We have made a recommendation that the provider develops a detailed assessment tool for assessing individuals end of life care needs and wishes should people wish to do so and how best these can be met in line with good practice guidance.

The provider's quality assurance and monitoring systems had failed to identify the concerns we found at this inspection.

People and their relatives spoke positively about the care and support they received. Staff communicated well with people and had built good relationships with them. Professionals feedback was positive confirming good partnership working.

Safeguarding and whistleblowing policies and procedures were in place and staff were aware of how to keep people safe. Arrangements were in place to prevent the spread of infections. Appropriate recruitment checks took place before staff started work and there were sufficient staff available to meet people's needs. Staff had the skills and knowledge to support people appropriately. Staff were supported through induction, training and supervision.

People were supported to maintain a healthy balanced diet where this was part of the planned care. People and their relatives were involved in planning for their care and support. People had access to health and social care professionals as required and were supported to access community services.

Staff worked with people to promote their rights and understood the Equality Act 2010; supporting people appropriately addressing any protected characteristics. The service worked well in partnership with health and social care professionals.

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 31 January 2017).

Why we inspected

This was a planned inspection based on

Inspection areas

Safe

Requires improvement

Updated 4 October 2019

The service was not always safe

Details are in our safe findings below.

Effective

Requires improvement

Updated 4 October 2019

The service was not always effective

Details are in our effective findings below.

Caring

Good

Updated 4 October 2019

The service was caring

Details are in our caring findings below.

Responsive

Requires improvement

Updated 4 October 2019

The service was not always responsive

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 4 October 2019

The service was not always well-led

Details are in our well-led findings below.