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Uriel Care2U Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 October 2020

About the service

Uriel Care 2U Ltd is a domiciliary care agency providing personal care to 23 people at the time of the inspection. The service was supporting people who needed care due to their age or disability.

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

The service had made improvements since the last inspection. People’s needs were addressed in care plans and risk assessments and these were more detailed than at the previous inspection. Staff understood the care plans and people using the service told us they had a copy of their care plan and said their care workers provided their care in the way they needed it.

People were supported with their medicines safely by staff who had been trained and assessed as competent to administer medicines.

Recruitment of staff had improved since the last inspection. The provider was now completing appropriate checks on staff when they were employed, to reduce the risk of employing unsuitable people.

The management of the service had also improved. The management team shared responsibilities and carried out audits more effectively. Staff felt well supported by the registered manager and said they enjoyed their work.

Staff completed appropriate training and told us they found the training helpful. Most people using the service said their care workers did their job well and understood their needs.

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. One person’s call times did not meet their needs as the gap between bedtime and getting up was too long. People were happy to receive care from the service but for some people there was no evidence they had consented to their assessments and care plans as these had been signed by staff or the person’s signatures typed in by staff.

People and relatives told us that they felt safe and were appropriately supported by the service and their care workers.

Staff were trained in safeguarding people from abuse but the procedure for reporting safeguarding concerns was unclear so there was a risk staff would not know how to raise a safeguarding alert appropriately. Allegations of abuse were acted on but not reported appropriately.

We have made two recommendations. One is to ensure people’s consent to their care is recorded appropriately and the second is to include details of how a person’s medical condition affects them in their care plans.

Rating at last inspection and update

This was a focused inspection which included checking whether the provider had met the requirements of three Warning Notices in relation to Regulation 12 (Safe care and treatment), Regulation 17 (Good Governance) and Regulation 19 (Fit and proper persons employed) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The last rating for this service was Requires Improvement (published 18 October 2019) and there were four breaches of regulations identified. The concerns related to the unsafe management of people's risks and medicines, poor recruitment processes, unsatisfactory training, and ineffective governance of the service. We took enforcement action against the provider in the form of three warning notices and one requirement notice. At this inspection we found improvements had been made and the provider was no longer in breach of those four regulations. However, we found a new breach of regulation 13 (Safeguarding people) at this inspection. The service remains rated requires improvement. This service has been rated requires improvement for the last three consecutive inspections.

The provider completed an action plan after the last inspection to show what they would d

Inspection areas

Safe

Requires improvement

Updated 27 October 2020

The service was not always safe. Details are in our safe findings below.

Effective

Requires improvement

Updated 27 October 2020

The service was not always effective. Details are in our effective findings below.

Caring

Good

Updated 27 October 2020

The service was caring. Details are in our effective findings below.

Responsive

Requires improvement

Updated 27 October 2020

Well-led

Requires improvement

Updated 27 October 2020

The service was not always well-led. Details are in our well-led findings below.