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Affinia Healthcare Requires improvement

This service was previously registered at a different address - see old profile

We are carrying out a review of quality at Affinia Healthcare. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 September 2019

About the service

Affinia Healthcare is a domiciliary care agency that provides personal care to people living in a supported living setting in the London Borough of Havering. At the time of our inspection, there were three people living at the supported living site that received personal care. The supported living site was made up of 16 self-contained flats.

People’s experience of using this service

Systems for the safe management of medicines were ineffective. We made a recommendation in this area. Audits had not identified the shortfalls we found during the inspection.

Risk assessments were in place to ensure people received safe care. Relevant pre-employment checks were carried out to ensure staff were suitable to care for people safely. Safeguarding procedures were in place to and staff were aware of these procedures.

Staff had completed essential training to perform their roles effectively and felt supported in their roles. 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 had access to health services and were supported with meals when required.

People received care from staff who were kind and compassionate. Staff treated people with dignity and respected their privacy. Staff had developed positive relationships with the people they supported. They understood people’s needs, preferences, and what was important to them. People were encouraged to be independent and to carry out tasks without support.

Care plans were person centred and included people’s support needs. Care plans had been reviewed regularly to ensure they were accurate.

Systems were in place for quality monitoring to ensure people and staff feedback were sought to improve the service. People and staff were positive about the management of the service.

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

Rating at last inspection

At our last inspection on 10 July 2018, the service was rated Requires Improvement (published 17 August 2018).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We identified one breach of Regulations associated with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to good governance.

Please see the action we have told the provider to take at the end of this report.

Follow up:

We will speak with the provider prior to 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.

Inspection areas

Safe

Requires improvement

Updated 4 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 4 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 4 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 4 September 2019

The service was not always well-led.

Details are in our well-led findings below.