Aniis Care

Updated 11 October 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

This inspection was conducted by 1 inspector and 1 Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 26 May 2023 and ended on 28 June 2023. We visited the location’s office on 31 May 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

During the inspection we spoke with 4 people who used the service and 2 relatives. We also spoke with 2 care workers, a care coordinator, a care consultant and the registered manager. We looked at a range of care records, including 3 people's care and risk management plans, 3 staff files, and a variety of records relating to the management of the service. We continued to seek clarification from the provider to validate the evidence found.

Updated 11 October 2023

About the service

Aniis Care is a domiciliary care agency. It provides personal care to mostly older people living in their own homes in the Surrey area. Some people were living with dementia or with physical disabilities. At the time of our inspection the service was providing care to 8 people.

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

People and relatives told us they felt safe. People had care and risk management plans in place, but the provider had not made sure these were always up to date and sufficiently detailed about how people should be supported. Some people’s plans did not always record how staff were to meet people's communication needs. There was a risk that people might receive inconsistent care or a new member of staff would not know how to care for people appropriately.

The provider had systems in place to monitor the quality of the service and make improvements. However, while there had been some improvements since our last inspection, these systems had not enabled the provider to identify and address the issues we found.

Staff supported people to receive their medicines as prescribed and medicines were managed appropriately. There were systems in place to help protect people from abuse and to investigate and learn when things went wrong.

The provider's recruitment processes helped to make sure they only employed suitable staff. People were usually visited by the same staff who they liked and knew their needs and how they liked to be supported.

Staff treated people with dignity and respect. People found staff kind and caring.

People and staff could give feedback about the service. People and their relatives knew how to raise any issues and found staff approachable. The service worked in partnership with other services to provide people with joined up 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 21 July 2022) and there were breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. We also met with the provider to discuss how they will make changes to ensure they improved their rating to at least good. We had also made a recommendation in 2021 that the provider consider current guidance on reviewing and updating people's care plans. At this inspection we found the provider had not acted sufficiently on this recommendation to make improvements. We found the provider had met some breaches, but there were two breaches of regulations and the service remains rated requires improvement. This service has been rated requires improvement for the last 4 consecutive inspections.

Why we inspected

We carried out an unannounced inspection of this service on 20 May 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, medicines support, recruitment, and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Caring, Responsive and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained 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 Aniis Care on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to personalised care and good governance. You can see what action we have taken at the end of this report.

Follow up

We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.