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Allot Healthcare Services York Requires improvement

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 November 2019

About the service

Allot Healthcare Services York is a domiciliary care agency providing personal care 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 supporting 70 people.

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

Governance systems in place were not always effective at identifying areas of concern as they had not identified those found at inspection. Systems had failed to identify where records were not in place or were not robustly completed. There was no formal auditing system for monitoring people's care plans, this meant the service had failed to identify when required risk assessments were not in place. Risk assessments had not always been carried out to mitigate risks to people.

Where recommendations had been made at the last inspection, sufficient improvement had not been made. At the last inspection we made a recommendation regarding call times and consistency of staff. At this inspection we found improvements had been made in relation to call times, however people continued to get inconsistent staff and were not always updated when changes in staffing occurred.

At the last inspection we made a recommendation regarding the Mental Capacity Act. At this inspection we found people were asked consent and were encouraged to make decision about their care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. However, we did identify records of best interest decisions were not always in place or fully completed.

People told us they felt safe with the staff that support them. People received their medication as prescribed. Staff had been recruited safely.

Staff treated people with respect and people's privacy and dignity was maintained.

Staff felt supported and they received induction, ongoing training and supervisions. People's nutritional needs were met.

People had the opportunity to give feedback on the service. People and their relatives were positive about the management team.

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

Rating at last inspection

The last rating for this service was requires improvement (published 16 October 2018).

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

We have identified one breach in relation to governance systems. Please see the action we have told the provider to take at the end of this report.

Follow up

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 alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect

sooner.

Inspection areas

Safe

Requires improvement

Updated 22 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 22 November 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 22 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 22 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 22 November 2019

The service was not always well-led.

Details are in our well-led findings below.