Archived: Grace Care/Training Limited

Updated 20 September 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.

We undertook a focussed unannounced inspection on 7 July 2016 with one inspector.

Previously we had carried out an announced comprehensive inspection of the service on 5 May 2016 and found that nine legal requirements had been breached. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Grace Care training Limited on our website at www.cqc.org.uk.

Following the inspection on 5 May 2016, we requested that they provided an action plan setting out what they would do to meet the legal requirements and we imposed conditions on their registration with us.

Before the inspection, we looked at information as to the provider’s activities and their improvements and adherence with the conditions imposed upon them. We reviewed any complaints, safeguarding concerns and intelligence provided to us about the service.

On the day of our inspection, there were 10 people using the service, six care staff and three management staff. We met with the acting manager and the care coordinator.

We reviewed five people’s care records, six staff recruitment and training files and looked at quality audit records such as policy and procedures. We did not seek the views of people and their families on this occasion as the local authority was involved and talking with them and their families directly.

Updated 20 September 2016

Grace Care/Training Limited provides a domiciliary care service and is registered to deliver personal care to people in their own homes.

The focussed inspection was unannounced and took place on 7 July 2016. The registered manager was in the process of deregistering with the Commission as they no longer worked at 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.

Previously we carried out an announced comprehensive inspection of the service on 5 May 2016 and found that nine legal requirements had been breached. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Grace Care training Limited on our website at www.cqc.org.uk

Following the inspection, we requested that they provided an action plan setting out what they would do to meet the legal requirements and we imposed conditions on their registration with us.

We undertook this focussed inspection to check that the provider had followed their action plan to meet the legal requirements. We found at this inspection that the provider had not taken the necessary action and were not meeting the requirements.

The service did not have appropriate systems in place to protect people from harm. Staff recruitment processes were not robust and the necessary checks had not been undertaken to ensure staff had been recruited safely.

Risks to people’s health and wellbeing were not appropriately mitigated and managed. People did not get their nutritional needs met to keep them well as visits to people were missed or late.

The safe management of medicines was not in place with the required checks about the competence of staff skills and abilities to assist people with their medicines.

Staff did not receive the required induction, training, supervision and support to undertake their role.

There was not sufficient leadership of the service in place. Quality assurance and management systems were not developed to monitor the care provided to people who used the service.

People’s views were not taken into account and used to make improvements to the service. Processes were not in place to deal with people’s complaints and concerns.