Uriel Care2U Limited

Updated 15 March 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses, flats and/or specialist housing.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We reviewed the action plan the provider had submitted following the last inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service and 1 relative about their experience of the care

provided. We spoke with 4 members of staff including a care worker, a senior care worker, the deputy manager / care coordinator and the registered manager.

We reviewed a range of records including 2 people's care records. We looked at 3 staff files in relation to recruitment, training and supervision. A variety of records relating to the management of the service, including policies and procedures, complaints and audits were also reviewed.

Updated 15 March 2023

About the service

Uriel Care2U Limited is a domiciliary care agency providing personal care and support to people with varied needs including older people and people living with dementia. At the time of the inspection the service was providing personal care to 2 people living in their own homes in the local community.

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

Risks to people were not always managed consistently as certain risks associated with people’s health were not assessed. The lack of appropriate risk assessments meant people were at an increased risk of harm.

People spoke positively of the staff providing care to them. The service carried out checks to ensure only the right staff were recruited. However, these checks were not always clearly documented which affected the reliability of the relevant records.

Quality assurance systems were not always effective to ensure issues were identified and improvements were made and sustained in a timely manner.

Systems were in place to protect people from abuse. Staff were aware of their duties to report any safeguarding concerns.

Infection control measures were in place to protect people from the risk of infections.

People and their relatives were pleased with the care and support they received. They were also given the opportunity to be involved and provide feedback on their care.

The service worked in partnership with other agencies to make sure people received safe and effective care.

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 requires improvement (published 29 July 2022) and there were breaches of regulations. We issued 2 Warning Notices to the provider for the breach of regulations 13 and 17 following the inspection. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider had met the requirements of the Warning Notices. However, due to concerns identified at this inspection, the provider remained in breach of regulations, and the overall rating for the service has remained as requires improvement.

This service has been rated requires improvement for the last 4 consecutive inspections.

Why we inspected

We undertook this focused inspection to check that the provider had followed their action plan, to confirm they now met legal requirements and to check if they had met the requirements of the warning notice we previously served.

This report only covers our findings in relation to the key questions safe and well-led which contain those requirements. For the key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Uriel Care2U Limited on our website at www.cqc.org.uk

Enforcement and Recommendations

We have identified breaches in relation to providing safe care and the 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.

Follow up

Due to a lack of improvement, we have requested an urgent action plan from the provider to understand what they will do to improve the standards of quality and safety. We will also 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 continue to monitor information we receive about the service, which will help inform when we next inspect.