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This service was previously registered at a different address - see old profile

We are carrying out a review of quality at Allicare. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Inadequate

Updated 10 June 2020

About the service

Allicare domiciliary care agency provides personal care to people living in their own homes. At the time of the inspection the service was supporting 67 people. People were supported with varying needs, some requiring just a few hours of support a week to others who required live in staff to provide support 24 hours a day.

We were told 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

We found ongoing concerns in how the provider assessed risks to people using the service. This included risks in changing care needs and how medicines were administered. There was not enough staff to ensure the rota was covered in a way that met the needs of people using the service and management were frequently used to support this. Staff were recruited safely and we found staff had the required equipment to control the risk of infection

People had not received assessments to determine their capacity to consent to care and treatment and holistic assessments considering people’s wider circumstances had not been completed. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

Staff had received more training since the last inspection but predominantly training did not include recent changes in legislation and best practice guidance. Staff did not have their competency tested to ensure they could effectively implement any training they received. People were supported to have access to enough nutrition and hydration but there were some concerns noted in how people were supported with special diets.

People told us care staff had improved since the last inspection and staff were generally more caring. But people were not involved enough in agreeing how and when their care was delivered. Staff treated people with dignity and respect and were responsive to their requests for support.

Complaints were not managed effectively, they were not responded to appropriately and the provider did not have systems in place to identify themes and trends from complaints received, in order to make any changes required to service delivery. People did not receive care specific to their preferences. Care plans were often not up to date with the most recent information and some areas of people’s support needs had not been assessed or reviewed. End of life care was delivered with the support of local district nursing teams.

A recent satisfaction survey had contained some positive comments and showed improvements had began to be made. However, a lack of an effective governance and quality audit system did not allow this to be evidenced. Action plans from the previous inspection were signed off as completed when there was clearly more work to be done, this included reviews of care plans and the inclusion of best practice guidelines in current policy.

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

Rating at last inspection (and update)

The last rating for this service was Inadequate (published 26 September 2019). Multiple breaches of regulation were found. The provider completed an action plan in January 2020 to show what improvements they would make and when. At this inspection, not enough improvement had been made and the provider was still in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcem

Inspection areas

Safe

Inadequate

Updated 10 June 2020

The service was not safe.

Details are in our safe findings below.

Effective

Inadequate

Updated 10 June 2020

The service was not effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 10 June 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Inadequate

Updated 10 June 2020

The service was not responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 10 June 2020

The service was not well-led.

Details are in our well-Led findings below.