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Archived: Aspects Care Limited - Grimsby Requires improvement

This service is now registered at a different address - see new profile

We are carrying out a review of quality at Aspects Care Limited - Grimsby. 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 17 October 2019

About the service

Aspect Care Ltd – Grimsby is a domiciliary care service providing care and support to older people and younger adults, as well as people who may be living with a learning disabilities or autistic spectrum disorder, dementia, mental health need, or a physical disability.

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. At the time of our inspection only three people were being supported with personal care.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control and choice. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

At the last inspection the provider had rushed recruitment processes so that the service sometimes let staff start shadowing before their checks were through or references were confirmed. Staffing numbers were insufficient and care coordinators were relied on to make visits and so worked extra hours. People did not have the benefit of a quality assurance system that identified shortfalls in all areas of the service or that were analysed for trends and reported on. We made recommendations about these.

People’s experience of using the service and what we found.

At this inspection, while some improvements were made, people did not always have the benefit of a service that was positive, inclusive and forward-looking. There was no registered manager for the past 12 months. This had been an unsettled period for everyone, due to a lack of direction for staff, some of whom had left along with the previous manager. People received an inconsistent service with these changes and the increased use of agency staff. Ineffective checks on how well the service was provided meant the quality assurance and monitoring systems were still ineffective. People had not always experienced support with independence. People told us they were not encouraged to live as independently as they wished to.

People continued to receive a good service in other areas. They were safe from harm. Systems and appropriately recruited staff supported this. People's risks were safely managed. Sufficient numbers of staff were employed to support them in taking risks. People were safely supported with handling medicines and with keeping their home clean.

Staff were trained, skilled and well supported by the provider. People had good relationships with the staff who protected their rights to lead a normal life in many areas. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People told us staff were kind and caring. People said their privacy and dignity were respected and staff were discreet.

Staff were now motivated to provide person-centred care based on people's choices and preferences. Staff had experienced an unsettled period where direction was missing. They were now demonstrating a change in attitude because supervision and guidance from the manager had improved. This meant people were better supported to do the things they wanted to. Any dissatisfaction in receiving the service was addressed and resolved.

Documents held in the office were secure to ensure confidentiality of people's information.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live a

Inspection areas

Safe

Good

Updated 17 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 17 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 17 October 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Good

Updated 17 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 17 October 2019

The service was not always well-led.

Details are in our well-Led findings below.