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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 16 July 2019

About the service:

Ace Social Care is a domiciliary care agency providing personal care to people in their own homes. At the time of this inspection it was providing services to around 15 people.

People’s experience of using this service:

People’s relatives praised the standard of care they had observed, and told us in their experience staff were kind and respectful. They told us staff were usually on time for care visits, and said that most of the time care was delivered by the same staff, which they said was important to them.

Relatives told us they were regularly asked for their feedback about the service, and said their feedback was always positive. They told us they could contact the registered manager whenever they needed to and said they were quick to respond.

The provider’s arrangements for recruiting staff safely were not sufficiently robust. The provider had, in most cases, relied upon Disclosure and Barring Service (DBS) checks that had been undertaken by staff members’ previous employers, and did not always have records of the work history of employees.

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.

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, and staff were not recording when they had administered topical medication.

The registered manager knew people using the service and their relatives well, and had a good knowledge of people’s needs. Staff told us the registered manager was very approachable and described them as supportive.

Staff told us they received a good standard of training, and records showed they received a range of training relevant to their roles.

The registered manager carried out audits of the service provided, however these audits had not always identified areas requiring improvement.

We identified three breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 relating to consent, good governance and fit and proper persons employed. Details of action we have asked the provider to take can be found at the end of this report

More information is in the full report

Rating at last inspection:

Good. The report was published in December 2016

Why we inspected:

This was a scheduled inspection based on the last rating.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

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Inspection areas

Safe

Requires improvement

Updated 16 July 2019

The service was not always safe.

Details are in our Safe findings, below.

Effective

Requires improvement

Updated 16 July 2019

The service was not always effective.

Details are in our Effective findings, below.

Caring

Good

Updated 16 July 2019

The service was caring.

Details are in our Caring findings, below.

Responsive

Good

Updated 16 July 2019

The service was responsive.

Details are in our Responsive findings, below.

Well-led

Requires improvement

Updated 16 July 2019

The service was not always well led.

Details are in our Well Led findings, below.