Midas Care Solutions Ltd

Midas Care Solutions Ltd is a domiciliary care service providing personal care to people living in their own homes. Midas Care Solutions Ltd provides personal care to people with dementia, learning disabilities, physical disabilities, sensory impairments, younger adults and older people. At the time of the inspection 106 people were using the service for personal care.

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

Risks to people were not consistently assessed and planned for however staff understood how to reduce risks. Medicines were not consistently recorded in people’s medicine administration record to show they were given as prescribed.

People did not consistently have their health needs assessed and planned for, there was a lack of guidance for staff on how to support people to maintain their health.

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

Systems and processes to monitor the risks to people were not consistently identifying areas of concern and enabling improvements.

People were safeguarded from abuse as staff understood how to recognise potential abuse and reported any issues for investigation by the appropriate inspection. There were enough safely recruited staff to meet people’s needs. Where incidents had happened there were processes in place to reduce and prevent further incidents.

The provider had processes in place to learn and make improvements to the service and they worked with other agencies to provide people's care.

An initial assessment of people’s needs was undertaken, and people and their relatives were involved in this process. People were supported by a consistent staff team who were supported in their role and received regular updates to their training. Where people required support with their meals and drinks this was provided by staff.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Rating at last inspection.

The last rating for this service was requires improvement (6 August 2019). The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected This inspection was prompted by a review of the information we held about this service.

Enforcement

We have identified breaches in relation to how people are supported to consent to their care and the governance of the service 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.

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

Midas Care Solutions Ltd is a domiciliary care agency providing personal care to people living in their own homes in the community. Midas Care Solutions Ltd provides personal care to people with dementia, learning disabilities, physical disabilities, sensory impairments, younger adults and older people. At the time of the inspection, seventeen people were using the service for 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

Audit systems in place to check the quality of the service were not always effective. People and their relatives were encouraged to share feedback and engage with the service. Staff felt supported and listened to.

Mental capacity assessments were not always completed effectively. This meant people may not have always been supported to have maximum choice and control of their lives and staff may not have always supported them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice

Systems were in place to protect people from abuse and staff understood them. Processes were in place to ensure staff were recruited safely. Risk was managed and reviewed to ensure people were kept safe.

People’s needs and choices were assessed and promoted effectively. Staff were skilled and had the knowledge to deliver effective care. Staff worked well together and with healthcare professionals to effectively meet people’s needs.

People were supported by kind and caring staff who displayed empathy and compassion. People and their relatives were encouraged to be involved in making decisions about their care. People were supported by staff who respected their privacy and dignity and promoted their independence.

People were supported by staff who understood their preferences and individual communication needs. People’s concerns and complaints were listened to, investigated and responded to appropriately.

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

Rating at last inspection:

This service was registered with us on 12 January 2017 and this is the first inspection.

Why we inspected

This was a planned inspection.

Follow up

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