Archived: Monument Care Ltd

Updated 28 April 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 07 and 15 March 2017 and was carried out by one inspector. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that the manager would be available to meet with us.

Before we carried out our inspection we reviewed the information we held about the service. This included a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We spoke with one person who used the service and a relative of another person who used the service. We also spoke with a third person who had been using the service until recently. We spoke with the manager, who was also the provider, and one member of care staff.

We reviewed three care and support plans, medication administration records and two staff recruitment files. We also looked at the service’s policies and procedures.

Updated 28 April 2017

This inspection took place on the 7 and 15 March 2017 and was announced.

Monument Care is a small domiciliary care service providing personal care to people in their own

home. There were three people using the service.

A registered manager was in post. This person was also the sole partner in the business. We have referred to this person as the manager throughout this report. A registered partner 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.

This inspection found four breaches the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We identified a breach of Regulation 12 which related to the safety of the arrangements in place to manage and administer people’s medicines. The level of support people needed with their medicines had not been assessed. Staff had not received up to date training and the practical arrangements in place in respect of one person’s medicines were not clear with staff managing the same situation in different ways.

There was a breach of Regulation 18 because staff had not received the necessary training or support in order to carry out their duties effectively. Robust recruitment processes were not in place to minimise the risks of recruiting staff unsuitable to their role. This was a breach of Regulation 19.

The provider was also in breach of Regulation 17. This was because systems were not in place to ensure that the service was operated effectively to identify and managing risks to people and to monitor the safety of the service.

You can see what action we told the provider to take at the back of the full version of the report.

People told us that staff were kind and caring and that the service they received met their needs. Staff we spoke with knew the people they supported well and there were systems in place to ensure that information was handed over to the next staff member visiting the person. Care plans were in place and were detailed and informative. This provided staff with the guidance and direction they needed to ensure people received person centred care. Efforts were made to identity peoples preferences and ensure that they had choice as part of the care planning process.