About the service Abicare Services Limited – Salisbury provides personal care to people who live in their own home. The service provides visiting carers to people in Salisbury and surrounding areas, and also live-in carers to people throughout the south of England.
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
The systems for managing medicines were not implemented effectively and increased the risk of harm to people. Records were not completed in full or kept up to date and did not give clear information to staff on the support people needed to manage medicines safely.
The service did not always take prompt action to keep people safe following allegations of abuse against staff. There were two occasions where live-in carers remained in post for several days following allegations of abuse.
New recruitment systems had been developed to improve the reliability of checks on people’s identity and right to work in the UK.
Additional infection control systems have been developed as a result of the COVID-19 pandemic. People were happy with the measures staff were taking and said they felt safe.
The service had a range of quality assurance systems in place to review records and received feedback. However, the systems had not always identified shortfalls in the service provided or resulted in improvements.
There was mixed feedback from staff about the culture of the service and management support. Some staff felt they received good support, whilst others felt concerns about the management of the service were not taken seriously. Most of the concerns were raised by staff working in the live-in care side of the service.
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 13 December 2018).
Why we inspected
We received concerns in relation to staffing. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection. You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Abicare Services limited - Salisbury on our website at www.cqc.org.uk.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.