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Infinite Intermediate Care Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 30 January 2019

Infinite Intermediate Care Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to both older and younger adults.

This is the first inspection of this service since it registered with the Care Quality Commission. This announced inspection took place between the 2 and 8 November 2018. There were three people receiving the regulated activity of personal care during this inspection. All care was provided by the registered manager.

This service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how they run the service.

The registered manager was also the sole director of Infinite Intermediate Care Limited. This meant there was no-one else involved in running the service and there was no other oversight of the registered manager’s practice. The provider did not have sufficient oversight of the service nor were there adequate systems in place to ensure that people received a high-quality service and were kept safe.

Where people did not have the mental capacity to make decisions, processes had not have been followed to protect people from unlawful restriction and unlawful decision making. Not all potential risks to people had been managed to ensure that the risks were minimised. Care plans were not sufficiently detailed guidance on how to meet each person's individual needs.

People were supported to manage their prescribed medicines safely. There were processes in place to reduce the risk of infection and cross contamination.

There were enough staff to ensure people’s needs were met safely and in a timely manner. The registered manager had very good relationships with people and their relatives. The registered manager knew the people she cared for well and understood, and met, their needs.

People were supported to have enough to eat and drink. People were assisted to have access to external healthcare services to help maintain their health and well-being.

The registered manager worked in partnership with people’s relatives who were fully involved in making decisions about their family member’s care and support. They were involved in the setting up and review of their or their family member’s support and care plans.

People were treated kindly and were made to feel that they mattered. The registered manager respected and promoted people’s dignity and independence. People’s suggestions and concerns were listened to and acted upon. The provider had a complaints process in place but had not received any complaints.

We found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. You can see what action we told the provider to take at the back of the full version of the report.

Further information is in the detailed findings below.

Inspection areas

Safe

Requires improvement

Updated 30 January 2019

The service was not always safe.

Not all potential risks to people had been managed to ensure that the risks were minimised.

There was a system in place to safeguard people from avoidable harm.

There were sufficient staff to ensure people’s needs were met safely.

People were supported to manage their prescribed medicines safely and there were processes in place to reduce the risk of infection and cross contamination.

Effective

Requires improvement

Updated 30 January 2019

The service was not always effective.

Where people did not have the mental capacity to make decisions, processes had not have been followed to protect people from unlawful restriction and unlawful decision making.

The registered manager knew the people they cared for well and understood, and met, their needs.

People were assisted to have access to external healthcare services when needed and encouraged to maintain their health and well-being.

Caring

Good

Updated 30 January 2019

The service was caring.

The registered manager treated people kindly and made people feel that they mattered.

People were treated people with respect. Their privacy, dignity and independence was promoted and maintained.

People had access to information about the service.

Responsive

Requires improvement

Updated 30 January 2019

The service was not always responsive.

Care plans were not sufficiently detailed with guidance on how to meet each person's individual needs.

People knew how and to whom to complain should they need to.

Well-led

Requires improvement

Updated 30 January 2019

The service was not always well-led.

The provider did not have adequate oversight of the service to ensure that people were provided with a high-quality, safe service.

People, their relatives and other stakeholders were not given enough formal opportunities to express their views about the service.

People were very happy with the service and would recommend it to others.