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Reedsfield Care Ltd Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 May 2019

About the service:

Reedsfield Care Limited is a domiciliary care service that was providing personal and nursing care to 26 people within their own homes. The service supported older people, people with physical disabilities, learning disabilities and mental health conditions.

People’s experience of using this service:

People told us they felt safe but we found continued shortfalls in relation to medicines, risks and care planning. Records relating to medicines were not accurate and where risks were identified the plans to keep people safe were not robust. Care plans were inconsistent and we found instances where important information about people’s needs and preferences was lacking. We also found a lack of information about people’s food preferences.

The provider had not always completed assessments in a timely manner which meant important information about needs and risks had not been gathered and planned for. People told us they were not always sure what time to expect staff and we found instances where the provider was not following their policy regarding call times. People had consented to their care but we found one instance where records relating to this needed improving. Records were not always up to date or complete. The provider's auditing and governance processes were not proactively identifying and addressing the issues that we found. The provider had not always notified CQC of incidents they were required by law to.

People told us that the staff who supported them were caring and we heard examples of people being supported to develop skills and independence. People told us that staff were respectful when providing care in their homes and were competent in their roles. Staff had received training and regular checks and supervision to assess their practice. There were regular staff meetings and staff told us important information was passed to them each day through handovers. Records showed regular work with other organisations and referrals to healthcare professionals when required.

Rating at last inspection: Requires Improvement (Published 18 May 2018).

Why we inspected: This was a planned comprehensive inspection based on the previous rating.

Enforcement: Action we told provider to take (refer to end of full report)

Follow up: We will request an action plan from the provider and continue to monitor the service. We will return to the service to inspect it again in line with our policy.

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

Inspection areas

Safe

Requires improvement

Updated 22 May 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 22 May 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Requires improvement

Updated 22 May 2019

The service was not always caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 22 May 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 22 May 2019

The service was not always well-led.

Details are in our Well-led findings below.