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Awesome Healthcare Solutions Limited Requires improvement

We are carrying out a review of quality at Awesome Healthcare Solutions 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 5 March 2020

About the service:

Awesome Healthcare Solutions Limited is a domiciliary care agency. It provides personal care to people living in their own home. It provides a service to older adults and younger disabled adults. At the time of our inspection the service was providing personal care for approximately 51 people. 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:

People spoken with told us they felt safe and did not express any concerns about their safety. Relatives spoken with felt their family member was safe. The system in place to safeguard people from the risk of abuse required improvement. We saw examples where a person’s social worker had been informed about concerns, but these had not been shared appropriately with the local safeguarding authority. We also found concerns being dealt with via the services disciplinary procedures, but they had not been reported to the local safeguarding authority. The registered manager told us immediate action would be taken to ensure any safeguarding concerns would be reported to the local authority.

Most people and relatives spoken with were satisfied with the quality of care provided. People told us support staff were respectful and treated them in a caring and supportive way.

At our last inspection, some people using the service did not receive regular calls and some people experienced missed calls so they did not experience continuity of care. At this inspection people and relatives feedback showed the delivery of people’s calls had improved. However, we saw further improvement was required to ensure people did not experience missed calls particularly when they started using the service. For example, the service ensured calls started on the right date.

We saw action had been taken by provider to ensure accidents and incidents including missed calls were investigated and resolved. Systems were in place to make sure managers and staff learn from events such as incidents, concerns and investigations had improved.

The provider completed pre-employment checks for new staff, to check they were suitable to work at the service. Staff received a range of training and support relevant to their role. Staff told us they felt fully supported, listened to and valued.

At our last inspection we found the provider did not have adequate systems in place to ensure the safe handling, administration and recording of medicines to keep people safe. We saw action had been taken by the provider to improve the management of medicines at the service. However, we found further improvement was required. The registered manager was currently reviewing the arrangements in place with the local authority.

At our last inspection we found concerns about the assessment of people’s potential risks and guidance in place. At this inspection we found some improvement had been made. However, we found further improvement was required to ensure some people’s specific health risks were fully assessed. We shared this feedback with the registered manager and the provider. They assured us immediate action would be taken. Environmental risk assessments were completed which considered risks to both staff and people receiving care.

People’s care plans were person centred. People were supported with their dietary needs, where this was part of their plan of care. Where required people were supported to access healthcare professionals and guidance provided was followed. Care workers understood the importance of respecting people’s diverse needs and promoting independence.

At our last inspection we found the provider did not always work within the principles of the Mental Capacity Act (MCA). At this inspection we found some improvements had been made. People were supported

Inspection areas

Safe

Requires improvement

Updated 5 March 2020

The service was not always safe

Details are in our safe findings below.

Effective

Good

Updated 5 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 5 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 5 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 5 March 2020

The service was not always well-led.

Details are in our well-Led findings below.