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Archived: Allied Care and Nursing Ltd Requires improvement

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

Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 August 2019

Allied Care and Nursing Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing within the Southend on Sea area. At the time of the inspection the domiciliary care service was providing personal care for 37 people. 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.

Initial feedback from people and their relatives about the care and support provided was positive. People told us staff were kind, caring, respectful and always treated them in a dignified manner. However, this contrasted with information received following our visit to the domiciliary care service office. This suggested not all of the care and support provided was as good as it should be. This referred specifically to recent ‘missed’ and ‘late’ calls and the impact this had on the people using the service. People were often not informed about staff changes and who may be visiting or caring for them.

People’s nutritional support was affected by the inconsistent call visit times by staff. People told us they could receive their meals too close together or not at all. People were placed at potential risk of harm because not all staff had the skills and competence to support people safely. Improvements were required to ensure all staff were appropriately trained. Not all staff had received appropriate training to confidently deal with people’s specific healthcare needs, such as stoma and catheter care.

Newly employed staff had not received a robust induction. Staff supervision and support was consistent to monitor staff performance, but records were poorly completed. Recruitment checks for staff were not robust as they should be to ensure the right staff were recruited to support people to stay safe.

When things went wrong, there was little evidence of learning or action taken to make the required improvements. Investigations were not as thorough as they should be. Governance arrangements were not as effective or reliable as they should be.

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

The last rating for this service was Good (published September 2018).

This was a planned inspection based on the previous rating.

We have found evidence that the registered provider needs to make improvements. Please see the relevant key question sections of this full report.

You can see what action we have asked the registered provider to take at the end of this full report.

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

Inspection areas

Safe

Requires improvement

Updated 9 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 9 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 9 August 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 9 August 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 9 August 2019

The service was not well-led.

Details are in our well-Led findings below.