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Access Care Management Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 25 June 2021

About the service

Access Care Management Limited (to be referred to as Access Care throughout this report) is a community-based care agency providing self-employed care workers to live-in with people in their own homes. The service is provided nationwide. Access Care currently provide two distinct services. The main part of the business is a recruitment and introductory service only. Access Care do not have an ongoing role in managing the quality and safety of the care being provided. This side of the business is not registered with the Care Quality Commission (CQC) and we do not inspect the care being provided to these people.

A small number of people receive what the service refer to as a ‘managed’ service. For these people, Access Care are responsible for ensuring that the care being provided continues to meet their needs on an ongoing basis. This managed service is registered with the Care Quality Commission and is therefore required to meet the fundamental standards. These are standards below which the care people receive, should never fall. At the time of our inspection, the managed service was no longer on offer to new clients.

Not everyone receiving the managed service received personal care. CQC also can only inspect 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 the inspection, the registered manager told us 10 people receiving the managed service had personal care needs.

People’s experience of using this service and what we found

This inspection determined that the self-employed care workers being introduced, or matched, to people receiving the managed service were carrying on the regulated activity of personal care in the name of Access Care Management Limited. This meant that Access Care fell within the scope of registration under the Health and Social Care Act 2008 and therefore they were required to operate effective systems and processes to ensure compliance with all of the Regulations under the Health and Social Care Act 2008. It was not possible to operate a business model which meant that some of the Regulations could not be met.

This inspection identified concerns regarding risk management, oversight of incidents and accidents, record keeping and the personal development and oversight of the care workers delivering people’s care. The systems and processes to ensure the registered manager was able to assess and monitor the safety and quality of the service against each of the Regulations needed to be further developed.

We have made a recommendation about the provider’s infection, prevention and control policies.

Since the inspection, the registered manager has taken action to restructure their business model. They have acted promptly to introduce a number of changes to strengthen the governance arrangements, ensure stronger systems are in place for maintaining records and the professional development of staff. Moving forward, this will help to ensure compliance with all of the Regulations, but these developments will need to be embedded.

People and their relatives spoke positively about the service they received from Access Care Management. They consistently told us that their regular care workers knew them well and treated them with kindness, dignity and respect. People felt their medicines were managed well and were happy with how their care workers managed infection control. Feedback was that the Access Care Team were usually effective at matching clients to care workers who were suitably skilled and knowledgeable. Care workers generally felt well supported and felt that they were provided with all of the information they needed to provide care safely.

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 May 2017).

Why we inspected

The ins

Inspection areas

Safe

Requires improvement

Updated 25 June 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 25 June 2021

Caring

Good

Updated 25 June 2021

Responsive

Good

Updated 25 June 2021

Well-led

Requires improvement

Updated 25 June 2021

The service was not always well-led.

Details are in our well-led findings below.