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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.

Reports


Inspection carried out on 1 August 2019

During a routine inspection

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 carried out on 13 June 2018

During a routine inspection

This inspection of Aspects Care Limited – Grimsby took place on 13 and 15 June 2018 and was announced. We gave the provider notice of our inspection because we needed to know someone would be at the agency office to meet us. At the last inspection in December 2015 the service was given and overall rating of ‘good’, with the well-led section rated as ‘requires improvement’ due to there being no registered manager at the time. Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the service to at least 'good' in the key question 'is the service well-led?'

At this inspection we rated the service as ‘requires improvement’. This was because care had not always been taken with recruitment processes, staffing levels were too reliant on care coordinator cover and the management of the service was not as efficient as it might me. However, there was a newly registered manager who had been in post for the last two months and the provider was no longer in breach of their registration requirements in this regard. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like 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.

Aspects Care Limited – Grimsby located in the town centre of Grimsby in North East Lincolnshire has an office on the first floor of a privately rented building. The building offers a lift to all floors and provides car parking spaces to the front.

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community and specialist housing. It provides a service to older adults and younger disabled adults. The service was supporting 15 people at the time of our inspection. Five of these people live in their own homes. Six people live in their own ‘supported living’ flats in Willow House, Crosland Road and four live in a shared bungalow on Station Avenue, all of which are in the Grimsby area. People that live in supported living have tenancy agreements with their prospective housing associations. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living and therefore this inspection looked at people’s personal care and support.

This service provides care and support to people living in two 'supported living' settings, so that they can live in their own home as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

Not everyone using Aspects Care Limited – Grimsby receives regulated activity; 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.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance, with regards to the supported living houses. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

At this inspection we found that staff recruitment processes were rushed so that the service sometimes let people start shadowing before their checks were through and references were often received via the telephone or were testimonials only. We made a recommendation about this.

Staffing numbers were insufficient as delegation of work tasks were unequal, with care coordinators taking up visit duties to ensure everyone received the support

Inspection carried out on 9 December 2015

During a routine inspection

Aspects Care Limited is a domiciliary care agency which is located in the town centre of Grimsby in North East Lincolnshire. The main office is located on the first floor of a privately rented building. The building offers a lift to all floors and provides car parking spaces at the front of the building. The service provides personal care and support to people living in their own homes and supported living shared houses. The service was currently supporting adults with physical disabilities and at the time of our inspection they were supporting 12 people.

The service was registered in January 2015 and this was the first inspection since they registered with the Care Quality Commission (CQC). The inspection took place on 9 December 2015 and we contacted the service before we visited to announce the inspection.

At the time of our inspection our records showed that the service had a registered manager in post. We found out during the inspection the registered manager had left their post in August 2015 but had failed to notify the Care Quality Commission they had left. A new manager had been appointed in September 2015 and was in the process of completing an application to become the new registered manager.

A registered manager is a person who has registered with the Care Quality Commission 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.

There were policies and procedures to guide staff in how to safeguard people from the risk of harm and abuse. Staff understood how to report potential abuse and had received training to reinforce their understanding.

Risk assessments were in place to assist staff with minimising assessed risks and these were reviewed and updated regularly. Staff had been recruited safely and employment checks had been completed to ensure they were suitable to work with vulnerable people.

Staff had completed an induction when they were first employed at the service and they were provided in sufficient numbers to support the needs of the people currently using the service. Staff had completed a range of training in key areas which helped them to meet people’s needs effectively.

People were referred to appropriate health professionals when there was a change in their needs and staff followed recommendations and guidelines from professionals.

People told us staff treated them with respect and were kind and caring. Staff demonstrated they understood how to promote peoples independence whilst protecting their privacy and dignity. People were consulted and involved in decision about their care and the acting manager and staff had completed training and understood the Mental Capacity Act 2005, which helped to protect people’s rights

Staff felt supported and listened to by the acting manager and registered provider. Staff received supervision and attended team meetings regular to ensure they were included and updated on changes happening within the service.

The service had a complaints procedure in place and people felt they could raise concerns and they would be addressed. The service completed regular audits to ensure practice remained safe and effective.

The registered provider had failed to complete and return the Provider Information Return (PIR).