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Quantum Domiciliary Care Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 November 2019

About the service

Quantum Domiciliary Care Limited is a domiciliary care agency providing personal care to 45 people at the time of 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’s experience of using this service and what we found

Systems around medicine management needed improving. Care plans and risk assessments were not in place for all of people's known risks. Where care needs had changed care plans and risk assessments had not always been updated to reflect people's most current needs. This placed people at risk of receiving unsafe care. People and their relatives told us they felt safe and safeguarding concerns had been referred to the appropriate body. People told us staff always turned up for calls but there was an issue with call times being inconsistent. Staff followed infection control guidance and had access to personal protective equipment.

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. Staff were knowledgeable about their role and told us they received sufficient training. The service contacted other professionals appropriately and in a timely manner.

People received care and support that respected their dignity and privacy. People were involved in their care plan reviews and were supported to make choices about their care. Where complaints had been received these were responded to in a timely manner.

Governance systems were either not in place or not robust. This meant that systems were not effective in monitoring the quality and safety of the service. People told us that the manager was approachable and

responsive and staff felt supported.

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 (10 October 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to Regulation 17, good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

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 16 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 16 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 16 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 16 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 16 November 2019

The service was not always well-led.

Details are in our well-led findings below.