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Ace Social Care Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 23 September 2020

Ace Social Care provides care and support for people living in their own homes. The provider is registered to provide care and support to people in the community. 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. At the time of our inspection the service was supporting 13 people with their personal care and support needs.

People’s experience and what we found:

Some improvements had been made since our last inspection which took place in June 2019. We found the service had made positive changes in their staff recruitment process, and were lawfully obtaining and acting in accordance with people's consent. However, governance arrangements were not as effective or reliable as they should be. Further improvement was needed in the quality assurance processes to identify shortfalls and to drive improvement.

At our last inspection there were some shortfalls in the way medicines were managed; there were no protocols in place setting out when medication prescribed to be taken on an "as and when" basis should be administered, these protocols were still not in place. Also, staff could not remember having their competency checked and there was no record of this. The registered manager took immediate action to resolve this.

People were safeguarded from the risks of abuse, staff received training in this area and knew how to recognise and report abuse. Staff were confident that appropriate action would be taken to keep people safe. In the main, risks associated with people's care were identified and risk assessments were in place to minimise the risk. Staff were knowledgeable about risks associated with people's care. We found a potential risk in the way a person’s medicines were stored, which had not been addressed. The registered manager took immediate action to resolve this.

There were sufficient staff available to meet people's needs and to socially engage with them whilst adhering to the current restrictions due to the COVID-19 pandemic. The registered manager had managed the current COVID-19 pandemic well and implemented effective procedures. Staff we spoke with felt there were enough staff available and were able to meet people's needs.

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.

People were happy with the quality of care and support they or their family member received. Communication with the registered manager was a strong feature and people spoke of care which met individual needs, and which could be reviewed and adapted. The management team supported staff to deliver person centred care to people. The registered manager engaged people in the service and listened to their comments. Many described staff as being, ‘friendly and caring.’ Relatives felt involved in the care of their loved ones and felt staff were adequately trained.

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 requires improvement (published 17 July 2019) and there were three breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made and the provider was still in breach of one regulation. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected:

We undertook this focused inspection in line with our current methodology in the COVID-19 pandemic, to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to

Inspection areas

Safe

Requires improvement

Updated 23 September 2020

The service was not always safe.

Details are in our safe findings below.

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Effective

Requires improvement

Updated 23 September 2020

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question, we had specific concerns about.

Caring

Good

Updated 23 September 2020

Responsive

Good

Updated 23 September 2020

Well-led

Requires improvement

Updated 23 September 2020

The service was not always well-led.

Details are in our well-led findings below.