You are here

Precious Homes Birmingham Requires improvement

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

Inspection Summary


Overall summary & rating

Requires improvement

Updated 13 January 2021

About the service

Precious Homes Birmingham provides personal care to people in their own flats within a supported living setting. The service provides personal care to younger adults who have a learning disability and or autistic spectrum disorders. At the time of the inspection there were seven people receiving personal care at the service.

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.

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

The provider had systems and processes in place to support the delivery of care and the safety of the service. However, these were not always used effectively to provide a consistent standard of care for people.

Potential risks to people’s safety were not always identified in relation to the safety of the environment. Infection control practices in relation to COVID-19, required improvement to ensure guidelines were understood and consistently followed to protect people and staff.

Staff understood how to safeguard people from harm and escalate concerns to relevant professionals. People and their relatives told us they felt safe at the service. More specific guidance for the use of, 'as required' medicines was needed to ensure people had these medicines safely.

Measures were in place to reduce the risk of infection during the COVID-19 pandemic. People’s safety was promoted through changes made to the layout of the premises to support social distancing.

Staff knew the risks to people’s safety and these were identified and managed. Relatives felt whilst people were safe and well cared for, consistency of good practice amongst staff, needed to improve. Accidents and incidents were analysed to identify causes, patterns or trends so that people’s support was identified to reduce such incidents.

There were enough care staff to meet people's needs. Maintaining safe staffing levels had been a challenge due to the COVID-19 pandemic, the provider had a contingency plan to determine safe minimum levels of staffing.

The provider had identified shortfalls and had a service improvement plan they were working to. They acknowledged there had been a period of inconsistent leadership which had impacted on the quality of people’s experiences. People, relatives and staff expressed confidence in the new manager. The manager confirmed that additional new senior posts were being created so that people and staff had the support they needed.

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 09 April 2019).

Why we inspected

We received concerns in relation to the management of people’s medicines, finances, infection control and staffing levels. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them.

Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Precious Homes Birmingham on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we 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 13 January 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 13 January 2021

Caring

Good

Updated 13 January 2021

Responsive

Good

Updated 13 January 2021

Well-led

Requires improvement

Updated 13 January 2021

The service was not always well-led.

Details are in our well-Led findings below.