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Crestar Healthcare Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 25 September 2019

About the service:

Crestar Health Care is a domiciliary care agency that provides personal care and support to people in their own homes. At the time of our inspection there were 24 people receiving personal care.

People’s experience of using this service:

Systems to monitor the quality and safety of the service had not been effective at monitoring and improving the quality of the service. Robust recruitment practice was not in place to ensure only staff that were suitable were employed. Care records and risk assessments did not detail how risks would be managed effectively. Staff did not receive all the support they needed to carry out their role effectively. Supervision of staff and observations of their practice to monitor their competencies were infrequent.

People received their medicines safely and as prescribed. Staff sought people’s consent before providing care and support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People’s rights to privacy and their dignity was maintained and respected by the staff who supported them. People were supported to express their views about their care.

People told us that the management of the service had improved in recent months. people were confident about approaching the registered manager if they needed to. The views of people on the quality of the service was gathered and used to support service development.

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 (report published January 2017).

Why we inspected:

This was a planned comprehensive inspection.

Enforcement

We have identified breaches in relation to safe recruitment practice and good governance at this inspection.

Inspection areas

Safe

Requires improvement

Updated 25 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 25 September 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 25 September 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 25 September 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 25 September 2019

The service was not always well-led.

Details are in our well-led findings below.