About the service:APDA Homecare c/o Daycare and Development Centre is a domiciliary care agency registered to provide personal care to people in their own homes. The service provides care to children and older people with physical and learning disabilities. The service caters for the Asian community and at the time of inspection the service provided personal care to seven people.
People’s experience of using this service:
Risk assessments for people covered areas such as the environment, physical health and personal care. These contained guidance for minimising potential risks such as risks associated with the COVID-19 pandemic. However, we noted that some risk assessments were not available on the day of the inspection.
Systems were in place to help ensure people were protected from the risk of abuse. There were appropriate policies in place with the relevant contact details. Care workers had completed safeguarding training.
The service followed safe recruitment practices and records contained the required documentation. The staffing levels were adequate to ensure that people’s needs were met.
The registered manager confirmed the service did not administer medicines to people. We therefore did not look at how the service managed medicines during this inspection.
Feedback indicated that staff were punctual and there were no issues in relation to this. There was evidence that people received care from the same staff and there was consistency in the level of care they received.
Infection prevention and control measures were in place to keep people safe and prevent the spread of COVID-19 and other infections. Staff had received appropriate training. They had access to sufficient stocks of personal protective equipment (PPE).
Our previous inspection identified that there were a number of instances where care workers required refresher training and we found a breach of regulation in respect of this. During this inspection we found that the service had made improvements in respect of this and staff had completed relevant training.
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.
The service supported people to meet their individual dietary needs. People followed religious diets and care workers were fully aware of people’s individual dietary requirements. Care support plans included information about people's dietary needs and requirements, likes and dislikes.
We noted that there were instances where documentation was not available and well-maintained. We have made a recommendation in respect of this.
There were systems in place to monitor and improve the quality of the service. We found the service had obtained feedback about the quality of the service through satisfaction surveys. The service also undertook checks and audits of the quality of the service.
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 requires improvement (published 25 June 2019) and there was one breach of regulation in respect of staff training. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of this regulation.
Why we inspected:
We undertook this focused inspection in order to check what improvements had been made since our last inspection. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has improved to Good.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for APDA Homecare c/o Daycare and Development Centre on our website at www.cqc.org.uk.
We looked at infection prevention and control measures under the Safe key question. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.