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Clayfields Business Centre Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 31 October 2019

About the service

Clayfields Business Centre is a domiciliary care service providing care in people’s homes. At the time of our inspection it was providing personal care to 52 people.

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.

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

Medicines shortfalls were not appropriately investigated to ensure people were receiving their medicines as prescribed. The registered manager was not analysing and monitoring accidents and incidents, so lessons could be learnt. Audits needed to be further strengthened and embedded into practice.

People were protected from the risk of abuse. Staff received suitable and sufficient training to enable them to carry out their roles and responsibilities. People received safe and effective care from staff who understood how to recognise and report issues of concern and potential abused.

People were cared for by staff who had completed training in infection control procedures.

We recommended that accessible information is provided to people in line with the accessible information standard (AIS).

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 received health care support when needed and people received support with preparing and cooking meals when this was an assessed need.

The provider had a safe recruitment system in place.

The service was working within the principles of the Mental Capacity Act (MCA). Staff were kind and caring and supported people to make their own choices about their care.

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

At this inspection enough improvement had not been sustained and the provider was still in breach of regulations.

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

The last rating for this service was requires improvement (published 24 October 2018). The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.

You can see what action we have asked the provider to take at the end of this full report.

We have identified breaches in relation to Regulation 12 Medicines and Regulation 17 Governance at this inspection.

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. 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 31 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 31 October 2019

The service was effective.

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 31 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 31 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 31 October 2019

The service was not always well-led.

Details are in our well-led findings below.