Kapital Care (UK) Limited

Kapital Care (UK) Limited is a domiciliary care agency providing personal care to people living in their own homes. The services they provide include personal care, housework and medicines support. At the time of our inspection the service was providing personal care and support to a total of 30 people. The Care Quality Commission (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:

Effective medicines management systems were not in place.

There was not an effective quality assurance system in place to monitor various aspects of the care provided and identify deficiencies in relation to people’s care and the running of the service.

Risk assessments were in place. However, we noted that in some instances the information recorded in these was limited and did not always include instructions for staff about how to mitigate associated risks. We have made a recommendation in relation to this.

Recruitment practices were not always robust enough to help ensure staff were suitable to support the people who used the service. We have made a recommendation in respect of this.

Feedback we obtained indicated that people and relatives felt safe in the presence of care staff.

Measures to prevent and control the spread of COVID-19 and other infections were in place.

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.

Staff we spoke with told us they enjoyed working at the service and were well supported by management and their colleagues.

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 the service was good (3 October 2018).

Why we inspected

This was a planned comprehensive inspection to review the key questions, Safe, Effective, Caring, Responsive and Well-led and rate this service.

The inspection was prompted due to the length of time that has passed since the last inspection.

Enforcement and recommendations

We have identified two breaches of regulation in relation to medicines management and governance at this inspection. 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 continue to monitor information we receive about the service, which will help inform when we next inspect.

Kapital Care (UK) Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. The agency provides a service to older adults and younger disabled adults.

Not everyone using Kapital Care (UK) Limited receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

A manager is registered with the CQC. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Kapital Care (UK) Limited is a small domiciliary care agency located in the London Borough of Camden. On the day of our inspection the agency provided personal care to three people. This was provided by four care workers and the agency owner, who was also providing personal care to people who used the service.

Care and support was delivered in line with current legislation and best practice. Risk assessments and support plans had been completed for everyone who was receiving care to help ensure people's needs were met and to protect people from the risk of harm. Staff had been appropriately checked when they were recruited to ensure they were suitable to work with vulnerable adults. Staff understood how to recognise abuse and how to report concerns or allegations. The records we saw indicated that medicines were managed safely and were subject to regular audits.

Staff sought people's consent before providing care and support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. People were supported to express their views and be actively involved in making decisions about their care and support needs.

Relatives praised the kind and caring approach of staff. Staff were respectful and explained clearly how people's privacy and dignity were maintained. Staff understood the needs of people and care plans were person-centred. Relatives spoke very positively about the care provided.

Care plans were in place detailing how people wished to be supported and people were involved in making decisions about their care. The care plans provided good information about people’s history and described the care, wellbeing and how best to support the person. Staff knew the people they were supporting and provided a personalised service.

Relatives and staff spoke positively about the registered manager and they told us the service was managed well and in people's best interests. Relatives made positive comments about the service people received.