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Chenai Holistic Home Care Agency Ltd Inadequate

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

We are carrying out a review of quality at Chenai Holistic Home Care Agency Ltd. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Inadequate

Updated 8 September 2020

About the service

Chenai Holistic Home Care Agency Ltd is a domiciliary care agency, providing support with personal care, to 101 people at the time of the inspection.

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

People told us staff were sometimes late and records confirmed this. Medicines were not managed in a safe way because the auditing system for medicine records was not fully implemented. Risk assessments were not person-centred in relation to people’s health conditions and they provided insufficient information to staff about how to support people with health conditions in a safe way. The provider had a system in place for monitoring of safeguarding issues.

Although quality assurance and monitoring systems were in place, these did not always identify and address shortfalls in the service. For example, they failed to address concerns over staff punctuality, lack of medicine audits and poor quality health risk assessments.

Staff undertook an induction training programme before commencing work at the service. Records showed almost all staff training was up to date. However, some people told us not all staff had the necessary skills and knowledge to support them.

Care plans had recently been reviewed and were person centred. They contained detailed information about the individual and how to support them with personal care needs. People had been involved in the review of their care plans. Systems were in place for dealing with complaints. However, some people told us that concerns they had raised had not been fully addressed.

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 this service was inadequate (published 15 May 2020). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made, and the provider was still in breach of regulations.

Why we inspected

We undertook this targeted inspection to check if progress had been made since the previous inspection in relation to Regulations 9, 12, 17 and 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The overall rating for the service has not changed following this targeted inspection and remains inadequate.

CQC have introduced targeted inspections to follow up on a Warning Notice or other specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to medicines management, risk assessments, staff punctuality and overall management of the service at this inspection

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

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan for 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

The

Inspection areas

Safe

Inadequate

Updated 8 September 2020

At our last inspection we rated this key question inadequate. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question, we had specific concerns about.

Effective

Inadequate

Updated 8 September 2020

At our last inspection we rated this key question inadequate. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question, we had specific concerns about.

Caring

Requires improvement

Updated 8 September 2020

Responsive

Requires improvement

Updated 8 September 2020

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question, we had specific concerns about.

Well-led

Inadequate

Updated 8 September 2020

At our last inspection we rated this key question inadequate. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question, we had specific concerns about.