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Archived: Allied Healthcare Alice Bye Court Requires improvement

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 14 July 2018

This was an announced inspection which took place on 13 and 14 June 2018.

Allied Healthcare Alice Bye Court is a domiciliary care agency. This service provides care and support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. Currently, the service provides care and support to 38 people. The accommodation is bought or rented, and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing, this inspection looked at people’s personal care and support.

We carried out an announced comprehensive inspection of this service on 13 February 2017. The service was rated as good in all domains and overall good at that inspection. After that inspection we received concerns in relation to people’s safety and poor management of the service. As a result we undertook a focused inspection to look into those concerns. At this inspection we rated the domains of safe and well-led as requiring improvement.

This report only covers our findings in relation to those topics. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Allied Healthcare Alice Bye Court on our website at www.cqc.org.uk”

There was not a registered manager running the service. 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.

The management team currently running the service were described as supportive and effective. Relevant parties told us that things were improving. However, although the service had an effective system of assessing, reviewing and improving the quality of care provided this had not been followed effectively. Some areas had been identified as requiring improvement but action had not been taken to do so. This breached the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

People were not supported with their medicines as safely as they could be. Medicines were not always recorded accurately. The support people needed with medicines was not clear because care plans did not give staff enough detailed information to ensure they gave the correct medicines at the right times. This breached the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

In most areas people, staff and visitors were protected from harm and were kept as safe as possible. Staff knew how to protect the people in their care and understood what action they need to take if they identified any concerns. General risks and risks to individuals were identified and action was taken to reduce them, as far as possible. People’s needs were, currently, met by sufficient numbers of staff.

We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report

Inspection areas

Safe

Requires improvement

Updated 14 July 2018

The service was not always safe.

The medicine administration and care planning systems were not detailed enough to ensure people�s medicines were always available to them and given in the right quantities at the right times.

Care staff were trained in and understood how to keep people safe from most types of abuse. People�s financial records were not always accurate.

The service learned from any accident or other incidents to minimise any future risks.

The service had a robust recruitment procedure that ensured they could be as certain as they could be that the staff chosen were suitable to work with people.

Effective

Good

Updated 14 July 2018

Caring

Good

Updated 14 July 2018

Responsive

Good

Updated 14 July 2018

Well-led

Requires improvement

Updated 14 July 2018

The service was not always well-led.

There was no registered manager in place and there had been several changes of management over the previous six months.

Staff felt they worked in a team that was well supported by new management and things were improving.

The quality assurance process was not being followed. It had identified improvements needed but action had not been taken to affect the change.