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Retons Care and Training Services Ltd Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 30 August 2019

About the service

Retons Care and Training Services Ltd is a domiciliary care service that provides care and support to people living in their own houses or flats in the community.

Not everyone using the service receives a regulated activity. CQC only inspects where people received personal care. This is help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of this inspection, there were 16 people receiving a regulated activity.

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

Risk assessments were in place to prevent or reduce the risk of people being harmed. However, appropriate management plans were not in place specifically with risk related to pressure ulcers

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. However, information in people’ care plans was not clear in relation to people’s capacity to make decisions for themselves.

There were systems in place to assess and monitor the quality of the service provided. However, these were not effective and did not identify the concerns found during this inspection.

People’s care plans were not person centred and were task focused.

We have made a recommendation about person centred care planning.

People spoke positively about the service. They told us they felt safe and their needs were being met. Assessments were carried out to ensure people's needs could be met.

Medicines were managed safely. Staff followed appropriate infection control practices. Appropriate numbers of suitably skilled staff were available to meet people's needs. Accident and incidents were recorded and acted upon. Any lessons learnt were used as opportunities to improve the quality of service

Staff had the knowledge and experience to support people's needs. They were supported through induction, training and supervision to ensure they performed their roles effectively. People were supported to maintain good health and access healthcare services when needed. People were supported with their nutritional and hydrational needs. People's privacy, dignity and independence was promoted. People told us care workers were kind and caring. There were procedures in place to respond to complaints. The provider had investigated and responded promptly to any concerns received.

Rating at last inspection (and update)

The last rating for this service was Requires Improvement (published 20 July 2018). The provider took action after the inspection to make improvements. At this inspection, enough improvement had not been sustained and the provider was in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to safe care and treatment, person centred care and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Requires improvement

Updated 30 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 30 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 30 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 30 August 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 30 August 2019

The service was not always well-led.

Details are in our well-Led findings below.