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Purely Care Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 6 October 2021

About the service

Purely Care is a domiciliary care service providing support to people living with a learning or physical disability and, or mental health difficulties. They provide personal care and support to people living in their own homes. 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. At the time of our inspection the service was providing a regulated activity to 25 people.

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

The auditing and quality assurance systems in place required improvement, as they did not ensure accurate upkeep of full records and identify areas for improvement.

There was poor administration around the management, care planning and auditing of medicines. People’s health conditions which created risks, as well as communication needs, were not covered sufficiently in care plans.

Although staff understood the principles of the Mental Capacity Act 2005 (MCA) and supported people in decision-making, there were no records relating to this.

We have made a recommendation around end of life care planning, as this was not considered in the existing care plans.

People were supported by enough safely recruited, competent staff to meet their needs. People received their agreed care visits.

When incidents or accidents occurred, there was action to further mitigate risk or recurrence.

Staff supported people safely with eating and drinking when part of their support needs. Staff supported people to access healthcare and worked alongside other healthcare professionals if needed.

People’s needs were assessed prior to using the service and a care plan was developed.

Staff were kind and caring, and involved people and relatives in their care.

People knew how to contact the office and raise any concerns if needed. Complaints were investigated and responded to appropriately.

Staff were positive about working for the service and felt involved in the running of the service.

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 23 August 2019) and there were multiple breaches of regulation. 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 not enough improvements had been made and the provider remained in breach of one regulation.

The service remains rated requires improvement. This service has been rated Requires Improvement for the last two consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

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/We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified a breach in relation to good governance at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will 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 request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work with the local authority to

Inspection areas

Safe

Requires improvement

Updated 6 October 2021

The service was not always safe.

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Details are in our safe findings below.

Effective

Requires improvement

Updated 6 October 2021

The service was not always effective..

Details are in our safe findings below.

Caring

Good

Updated 6 October 2021

The service was caring.

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Details are in our safe findings below.

Responsive

Requires improvement

Updated 6 October 2021

The service was not always responsive.

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Details are in our safe findings below.

Well-led

Requires improvement

Updated 6 October 2021

The service was not always well-led.

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Details are in our safe findings below.