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Infinite Intermediate Care Limited Inadequate

We are carrying out a review of quality at Infinite Intermediate Care Limited. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Inadequate

Updated 18 March 2020

About the service:

Infinite Intermediate Care Limited is a domiciliary care service. At the time of our inspection the registered manager provided personal care to two people. The provider had employed staff to provide care to one other person for four weeks since our last inspection. The service provides care to adults in Peterborough and surrounding areas.

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

The service was not well led. At the previous inspection we told the provider there was a lack of oversight of the service to ensure that it was being managed safely and in line with current good practice. The registered manager had supplied an action plan after the previous inspection. However, they had failed to make the necessary improvements. The service was not well managed, and the registered manager had failed to recognise their responsibility to ensure that the service delivered high quality, safe care to people. The registered manager had not carried out any quality monitoring or audits that may have identified the improvements needed.

People’s health and welfare was at risk because procedures and policies to keep them safe were not being followed. Risk assessments had not been reviewed to reflect any changes and did not include all relevant information for staff to keep people safe. Medicines were not well managed. Staff had not completed medication administration training since working for the service and had not had their competency assessed by someone trained to do so. People did not always receive their medicines in line with good practice, the provider’s policy, or the manufacturer’s instructions. People’s care plans did not contain enough information about their medicines or how they should be administered. The medication administration charts did not include all the required information and contained multiple errors. Checks of medication administration records had not been recorded.

The registered manager had not carried out the required checks to ensure staff were suitable, prior to them providing people’s care. The provider’s recruitment policy had not been followed when recruiting new staff. New staff recruited in 2019 had not received the training they required since working for Infinite Intermediate Care Limited and they had not been assessed as competent to carry out their role effectively.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests. There were no records that decisions made on behalf of people were made in their best interests by people who had the legal authority to do so.

Care plans did not include all the information staff needed to be able to support people safely or in the way the wanted. Only the registered manager was providing care at the time of our inspection visits and she knew both people who received care really well. However, if a new staff member had to support people, the information was not available to enable them to do this safely or in the way the person preferred.

The feedback we received about the service was very positive. The registered manager knew both people well and liaised with their relatives about their care.

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 30 January 2019).

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made/ sustained, and the provider was still in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

At this inspection we have identified breaches in relation to keeping people safe from harm and avoidable risks, management of medication, safe recruitment, staffing, consent, and m

Inspection areas

Safe

Inadequate

Updated 18 March 2020

The service was not safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 18 March 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 18 March 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 18 March 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 18 March 2020

The service was not well-led.

Details are in our well-led findings below.