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Accommodating Care (Driffield) Inadequate

Inspection Summary


Overall summary & rating

Inadequate

Updated 31 May 2019

About the service: Accommodating Care is a domiciliary care agency providing personal care to 21 people at the time of inspection. Not everyone using Accommodating Care 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.

People’s experience of using this service: People were not always protected from harm and abuse. Internal and external systems were not followed to protect people and ensure their safety.

Potential risks to people were not always identified. Where risks were identified the information for staff was brief and did not detail how to mitigate risks to people and keep them safe.

Staff recruitment was not robust. Pre- employment checks were insufficient and employment gaps were not explored to ensure potential staff were of good character and suitable to work with vulnerable people.

People had assessments and care plans regarding their care and support needs. However, the care plans lacked important information and were not always kept up to date.

People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible; However, the policies and systems in the service did not support this practice.

Complaints were not managed in line with company policy.

The service was not well-led and there was a lack of effective governance and oversight. Quality assurance processes were not completed and records for the running of the service were not always accurate or up to date.

Rating at last inspection and update; At the last inspection the service was rated requires improvement (published 4 April 2018). This service has been rated requires improvement for the last two consecutive inspections.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve.

At this inspection improvements were still needed and the provider continues to be in breach of regulations. This has resulted in the service being rated Inadequate overall and being placed in special measures. Services in special measures will be kept under review and, if we have not already taken immediate action to propose to cancel the provider’s registration of the service, it will be inspected again within six months.

Why we inspected: This was a planned inspection based on the rating at last inspection.

Enforcement: We have identified breaches in relation to Regulations 19,12,16 and 17 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This provider did not ensure fit and proper people were employed at the service, did not ensure safe care and treatment of people using the service, did not manage complaints adequately and demonstrated a lack of robust quality assurance meant people were at risk of receiving poor quality care.

Following this inspection, we wrote to the provider to request an action plan and to gain further assurances for people’s safety.

Follow up: 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 work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

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

Inspection areas

Safe

Inadequate

Updated 31 May 2019

The service was not safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 31 May 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Requires improvement

Updated 31 May 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 31 May 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Inadequate

Updated 31 May 2019

The service was not well-led.

Details are in our Well-Led findings below.