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Community Care Worker Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 20 February 2020

About the service

Community Care Worker Limited is a domiciliary care service supporting people with personal care in their own homes. The service was supporting 58 people at the time of our inspection. Younger and older people had support needs such as physical and sensory impairments, learning disabilities, dementia or mental health needs. 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’s experience of using this service and what we found

Systems to monitor the and improve the quality of care had improved, however, these were still not fully effective at identifying all concerns and had not fully embedded into custom and practice.

Medicines management required improvement to ensure people’s medicines were always safely managed. Risks to people were not always assessed and planned for, although improvements were made following our feedback. Lessons were learned when things went wrong, although systems required strengthening to ensure all issues were identified. Staff were recruited safely, although checks could be more robust.

People were protected from the risk of abuse by staff who understood their responsibilities and knew to report concerns; appropriate referrals had been made. People were protected from cross infection as staff used appropriate personal protective equipment. People were supported by enough staff.

People had access to other health professionals when necessary. People’s health conditions were recorded in their plans. Staff received training to be effective in their role and felt supported. People were appropriately supported with their food and drinks. 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. Documentation required strengthening to ensure it was clear why people were not signing their own consent to their care and support.

People were supported by a kind and caring staff team. People’s dignity was maintained, and they were supported to remain as independent as possible. People’s protected characteristics were taken into account and people were involved in decisions about their care.

No one was being supported with end of life care, but action was being taken to ensure the service was able to effectively support people should the time come. People had personalised care plans in place and were supported in a way they liked. People felt confident and well supported by their regular staff. People were supported to communicate in a way that suited them. People and relatives felt able to raise concerns and these were investigated and responded to.

The previous rating was being displayed and notifications were submitted as required. People were asked their opinion about the service and people had given positive feedback. Staff had their competency checked and the service was on a learning and improvement journey with the support of an external consultant. Staff felt supported by management. The provider and care manager were aware of their responsibilities regarding duty of candour. The service worked in partnership with other organisations and there were future plans to expand this.

Rating at last inspection

The last rating for this service was requires improvement overall, with inadequate in well-led (9 July 2019). There was previously a breach of regulation 17 (Good Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was due to poor oversight of the service and a failure to improve enough following previous inspections. At this inspection we found the service was no longer in breach.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We w

Inspection areas

Safe

Requires improvement

Updated 20 February 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 20 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 20 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 20 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 20 February 2020

The service was not always well-led.

Details are in our well-led findings below.