Andrewjon's, 7 Redan House

‘Andrewjons, 7 Redan House’ is a domiciliary care agency. The service provides personal care to children with physical disabilities in their own homes. At the time of our inspection there were two people using the service.

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

People spoke of good communication with the registered manager and felt that when concerns had arisen that this would be acted on promptly. People spoke of their family members receiving appropriate support, with some care workers demonstrating strong skills and good engagement. However, sometimes the service struggled to provide consistent staff to meet the needs of people and their families.

There were suitable measures to safeguard people from abuse and staff were recruited safely. However, risks to people using the service were not always assessed and managed appropriately and in some cases risk assessments for some activities had not been completed. Moving and handling plans were quite vague and lacked detail on how exactly people could be supported to transfer safely. There were suitable processes for addressing incidents but the provider did not always log and respond to incidents appropriately to implement suitable plans to prevent a recurrence. The management of medicines was not always safe with significant discrepancies in assessments and recording.

Care workers received the right training and supervision to carry out their roles and there were systems to ensure staff had the right competency to undertake particular tasks. The service worked with other agencies such as healthcare professionals to ensure that people’s health needs were met but did not routinely integrate this information into their own care plans.

Care plans were not always person centred and lacked clear detail on how people liked to receive care and how they liked to communicate. Plans were not always updated to reflect the actual care people received day to day and were lengthy and formulaic, without always exploring what was important to people. The service worked with people’s families to review care plans but did not always use this opportunity to ensure that care plans accurately reflected people’s needs.

The registered manager worked with people’s families and staff to promote an open culture and to monitor people’s concerns and issues. Systems of audit were not sufficiently developed to ensure that people always received high quality care or to act promptly to address risks.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection:

We registered this service on 27 July 2017 and this was the first inspection. This location was dormant until November 2021. This meant that the provider was not providing personal care to people until this date and therefore could not be inspected.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Enforcement and recommendation

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have found breaches in relation to safe care and treatment, good governance and person centred care at this inspection. We have made a recommendation about how the provider meets the Accessible Information Standard (AIS).

We issued a warning notice regarding safe care and treatment. You can see what action we have told the provider to take at the back of the full version of this report.

Follow up

We will request an action plan from 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 continue to monitor information we receive about the service, which will help inform when we next inspect.

This was an ‘inspection using remote technology’. This means we did not visit the office location and instead used technology such as electronic file sharing to gather information, and video and phone calls to engage with people using the service as part of this performance review and assessment.