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A & K Home Care Services Ltd Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 23 March 2021

About the service

A & K Home Care Services Ltd is a domiciliary care agency that provides personal care to older people who are living in their own homes. At the time of our inspection visit, 46 people were being supported by 19 members of care staff.

People’s experience of using this service and what we found

Safeguarding systems and processes had improved and were in place to protect people from avoidable harm. Risks management required improvement to ensure people always received safe care. The recruitment process to check staff were of a suitable character to work with vulnerable people needed improvement. Staffing and resources were not always sufficient to ensure people received their scheduled call times at agreed times, and for the length of time agreed. Infection control procedures were not consistently followed to ensure people were protected from the risks of infection and cross contamination.

People who required support to take their medicines told us they received their medicines as prescribed.

The registered manager was able to demonstrate staff had received training to fulfil their role, although manual handling training techniques needed to be improved. People's needs, wishes and preferences had been assessed before they received support from the service.

People were not supported to have maximum choice and control of their lives, as the provider did not always follow the requirements of the Mental Capacity Act (2005). The provider did not have systems and processes to ensure people were supported in their best interests.

People, relatives and staff told us communication and the management of the service could be improved. Checks were not always effective in ensuring people had up to date care records.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at the last inspection and update

The last rating for this service was requires improvement (published 24 September 2019) and there were multiple breaches of regulation. We found there was a breach of Regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Safeguarding service users from abuse and improper treatment and a breach of Regulation 17 Good Governance. The provider completed an action plan after the last inspection to show what they would do and by when to improve. We found the provider had completed actions on their action plan, and there was no longer a breach in Regulation 13. However, we found there continued to be a breach of Regulation 17 Good Governance.

Why we inspected

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions of Safe, Effective and Well-led which contain those requirements. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained as Requires Improvement.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for A & K Home Care on our website at www.cqc.org.uk.

Enforcement

We have identified two breaches in relation to safe care and treatment and good governance. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from 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.

Inspection areas

Safe

Requires improvement

Updated 23 March 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 23 March 2021

The service was not always effective

Details are in our effective findings below.

Caring

Good

Updated 23 March 2021

Responsive

Good

Updated 23 March 2021

Well-led

Requires improvement

Updated 23 March 2021

The service was not always well led.

Details are in our well led findings below.