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Cura-Care Yorkshire Ltd Inadequate

We are carrying out a review of quality at Cura-Care Yorkshire Ltd. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Inadequate

Updated 13 April 2021

About the service

Cure-Care Yorkshire is a domiciliary care agency providing personal care to adults and children 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 the inspection, the service was supporting around 65 people.

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

We were not assured people were being cared for safely. The provider had shown little regard to the risks presented by COVID-19. Risk assessments had not been undertaken, there was no staff testing programme in place, staff training in relation to infection control was lacking and the provider had not incorporated government guidance into their working practices. Following the inspection the provider told CQC they had implemented work to address these areas.

We found improvements were required in the way medicines were managed, and in staff use of personal protective equipment (PPE)

Governance arrangements within the service were not sufficiently robust to ensure people received safe care. Audits had failed to identify areas that needed to be improved, putting people at risk of harm.

Staff told us they understood their responsibilities in relation to safeguarding, and people using the service and their relatives told us they felt safe when receiving care. The provider had a comprehensive monitoring system for any safeguarding incidents, however, they had failed to notify CQC of a number of incidents which they were legally required to notify us about.

The majority of staff and people using the service told us they found the management team to be accessible and supportive.

Recruitment was undertaken safely, with appropriate background checks before staff started work.

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

Rating at last inspection

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

Why we inspected

The inspection was prompted due to concerns received about how the provider was ensuring care was delivered safely in a way that met people’s needs, and about the provider’s governance arrangements. A decision was made for us to inspect and examine those risks. As this was a focussed inspection, we reviewed the key questions of safe and well led only. Ratings from previous comprehensive inspections for other key questions were used in calculating the overall rating at this inspection. The overall rating for the service is now inadequate.

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe. And there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it. And it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.

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 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 breaches in relation to safety and infection control, and 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.

Inspection areas

Safe

Inadequate

Updated 13 April 2021

The service was not safe.

Details are in our safe findings below.

Effective

Good

Updated 13 April 2021

Caring

Good

Updated 13 April 2021

Responsive

Good

Updated 13 April 2021

Well-led

Inadequate

Updated 13 April 2021

The service was not well led.

Details are in our well led findings below.