Updated 29 January 2025
Date of assessment; 05 February 2025 to 06 February 2025. The service is a domiciliary care agency providing personal care to people living with physical health needs and dementia in their own homes. At the time of our inspection there were 26 people receiving a regulated activity. The assessment was completed due to concerns we received about the service. The service has been rated inadequate. We identified 4 breaches of regulations, 3 repeated breaches and 1 new breach. People were not supported to have maximum choice and control of their lives and staff did not support them in their best interests; the policies and systems in the service did not support safe practice. There were concerns around risk to people and how these were assessed and managed. Support plans and risk assessments were not completed to ensure people were receiving care which met their current needs. Medicines were not always administered safely, and people did not always receive them as prescribed. Staff were not recruited safely and did not always have the qualifications, skills, competencies and experience to carry out their role. The leadership, governance and culture did not promote the delivery of high-quality, person-centred care. The provider did not have consistent leadership and the management team, and senior staff were unclear about what their roles were. At the time of our inspection the service did not have a registered manager in place. For instances where CQC have decided to take civil enforcement action against a provider, we will publish this information on our website after any representations and/or appeal have been concluded. The service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of care provided.