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Community Care Worker Limited Requires improvement

We are carrying out a review of quality at Community Care Worker Limited. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 July 2019

About the service

Community Care Worker Limited is a domiciliary care service that was providing personal care to 56 people living in their own homes at the time of the inspection. Not everyone who used the service received personal care. CQC only inspects 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. People had a range of support needs such as people living with dementia or those who needed support with their mental health, older and younger adults, people with a learning disability and a physical and/or sensory impairment.

People’s experience of using this service

People had experienced less-than-good care over a period of five consecutive inspections. Systems were not embedded or were not always effective at identifying omissions and monitoring trends. Staff training was not monitored effectively. Some improvements had been made and further were planned however, this had not yet resulted in people consistently receiving good care.

Staff recruitment had improved so they were recruited safely, however we found not all double up calls were attended by two staff at the same time according to rotas. People were not always protected from infection control risks. Risks assessments were inconsistent; some were in place and detailed, whereas other were not. The management of medicines were not always safe as some creams were being applied that were not prescribed and some guidance was missing for staff.

There was mixed feedback about staff training and some staff felt it could be improved. People were supported to access other health professionals, but improvements were needed to the information available to staff about people’s specific health conditions.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Following our feedback, improvements were made to the service checking on people’s legal right to make decisions on other people’s behalf. People were supported with their diet and nutrition.

There had been some instances of staff discussing inappropriate topics when in people’s homes. People were not always involved in decisions about their care. However, people overall felt treated with dignity and respect. People told us they were supported to remain independent and had their privacy maintained.

There was mixed feedback about people’s preferences being understood by staff as the staff team could change so people did not always have regular staff. There was mixed feedback about the response to feedback. No one was receiving support for end of life care, however how people would be supported had been considered by the registered manager.

The service worked in partnership with other organisations. People and staff were engaged in the service.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 11 December 2018). The service remains rated requires improvement. This service has been rated requires improvement for the last five consecutive inspections. At this inspection not enough improvement had been made or sustained and the provider was still in breach of a regulation.

Why we inspected

The inspection was prompted due to concerns received about poor quality care. We have found evidence that the provider needs to make improvements. Please see the full report. You can see what action we have asked the provider to take at the end of this full report.

Enforcement

We have identified a breach in relation to the provider failing to make sufficient improvements to achieve an overall good rating and systems not always being effective at identifying areas for improvement. Full information abo

Inspection areas

Safe

Requires improvement

Updated 9 July 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 9 July 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 9 July 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 9 July 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 9 July 2019

The service was not well-led.

Details are in our well-led findings below.