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Wolds & Coast Domiciliary Agency Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 12 December 2019

About the service

Wolds and Coast Domiciliary Agency is a domiciliary care service providing personal care for people who are living with dementia, mental health conditions, physical disability, sensory impairment, older people, younger adults and people with a learning disability and/or autism in their own home. At the time of our inspection 11 people received support from the service.

This service provides care and support to people living in two ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

People’s experience of using this service

Risks to people were not always managed and medicines practices were note safe. Records were not up to date and checks in place to monitor the quality of care being provided had not identified or addressed the concerns found. The registered manager was absent from the service but the nominated individual for the provider and the manager were responsive to concerns we found and had identified some areas for improvement before our visit. We made a recommendation about the use of action plans and audits to support the changes required.

Robust recruitment processes were not always followed. The provider had already identified this, and action had been taken.

People were supported with activities and interests to suit them and to aid their independence. Staff knew people’s likes and dislikes well.

People were supported with their communication needs and staff demonstrated effective skills in communication. Staff had received training and support to enable them to carry out their role. 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.

Staff told us the management team were approachable. The provider had systems in place to safeguard people from abuse and staff demonstrated an awareness of safety and how to minimise risks.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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 05 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to the safe administration of medicines and the management of risk at this inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 12 December 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 12 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 12 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 12 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 12 December 2019

The service was not always well-led.

Details are in our well-led findings below.