Archived: Open World 2 Limited

Updated 20 July 2019

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 Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

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

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 4 July 2019 and ended on 10 July 2019. We visited the office location on 4 July 2019.

What we did before the inspection

We reviewed information we had received about the service since its registration. Due to technical problems, the provider was not able to complete a Provider Information Return. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with the registered manager.

We reviewed a range of records. This included one person’s care records, the registered manager’s training information and policies and procedures relating to the management and running of the service.

After the inspection

We spoke with one person who used the service about their experience of the care provided.

Updated 20 July 2019

About the service

Open World 2 Limited is a domiciliary care service registered to provide personal care support to people with a learning disability, and autism spectrum disorder. 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. At the time of the inspection, one person was receiving personal care support. Care was provided by the registered manager and at present they did not employ any staff.

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

The person who used the service said they felt safe, the registered manager was kind and the care received was good. The registered manager had a good understanding of their responsibility with regard to safeguarding adults.

The provider had not always identified risks to people who used the service or put in place guidance on how to reduce risks where these were identified. The provider had not always updated people's risk assessments to reflect their changing needs. We have made a recommendation about assessing the risks to people.

Care records were personalised and contained information about people’s life history, likes and dislikes. However, we found the care plan lacked detail for specific tasks. We have made a recommendation about personalised care planning.

The provider did not have robust systems in place to check the quality of the service provided. This was in relation to risk assessments and reviews, record keeping and person-centred care.

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.

The person told us they were treated with dignity and respect.

People’s cultural and religious needs were respected when planning and delivering care. Discussions with the registered manager showed that they respected people’s sexual orientation so that lesbian, gay, bisexual, and transgender people could feel accepted and welcomed in the service.

The provider had a complaints procedure in place. People knew how to make a complaint.

At the time of our inspection the service did not have any people receiving end of life care. The service had an end of life policy in policy.

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

Rating at last inspection

At the last inspection of the service we were unable to gather sufficient evidence to provide a rating for the service (published 14 January 2019).

Why we inspected

This inspection was part of our routine scheduled plan of visiting services to check the safety and quality of the care people received.

Enforcement

We identified one breach of the Health and Social Care Act (Regulated Activities) Regulations 2014 around good governance.

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.