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Quantum Domiciliary Care Limited Requires improvement

Reports


Inspection carried out on 13 August 2019

During a routine inspection

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 carried out on 28 July 2016

During a routine inspection

This inspection took place on 28 July and 8 August 2016 and was announced. On the first day of our inspection the registered manager was not available so we revisited on 8 August 2016 to complete our inspection.

Quantum Care Limited is a domiciliary care service that provides support to people living in their own homes. Some people’s care was funded through the local authority and some people purchased their own care. At the time of our inspection 40 people received support from this service.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were protected from the risk of abuse because staff received training so that they understood the different types of abuse and knew what actions were needed to keep people safe.

People felt safe and secure with staff coming into their homes because staff had the skills and knowledge to care and support them in their homes. There were sufficient numbers of staff available to meet people’s needs.

Before staff were employed checks were made by the organisation about their skills and suitability which included a police check. The organisation did not always obtain references previous employment to ensure that staff conduct in that employment was satisfactory.

People were supported to receive their medication as prescribed. Staff who supported people with their medicines had received training, to ensure people received their medicines safely.

People were supported by staff that had received the support they needed so that they could carry out their role effectively.

People were supported by staff that were kind and respectful. Where appropriate, people were supported by staff to access other health and social care professionals when needed.

People’s independence was respected and promoted and staff responded to people’s support needs. Most people felt they could speak with staff about their worries or concerns and that they would be listened to and have their concerns addressed.

People had access to food and drinks and were supported to have food that they enjoyed.

The provider had management systems in place to assess and monitor the quality of the service provided to people. However, records management was not always effective in relation to ensuring all information was accurately recorded.