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Adu's Care Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 19 November 2019

About the service

Adu’s Care is a domiciliary care agency providing personal care to one person at the time of the inspection.

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

There was a lack of managerial oversight at the service and the provider’s monitoring process did not look effectively at systems throughout the service. This led to issues and shortfalls in many areas, but significantly staff recruitment checks were not always fully obtained before new staff started working.

Risks to people were not always identified or managed safely. Assessments did not identify actions to reduce risks or contain information to show the level of risk. People were cared for by staff who had not received all training needed and had not had previous training checked to make sure they had the skills and knowledge needed. Care plans were not written in enough detail to provide guidance to staff if they did not know the person well. Information about people’s wishes was not recorded, even when it was known.

Staff had details if they needed to contact health care professionals and made sure they asked people’s consent before caring for them. Staff members understood and complied with the principles of the Mental Capacity Act 2005 (MCA). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies in the service supported this practice, however records had not been updated to show where best interest decisions had been made.

Staff were caring, kind and treated people with respect. People were listened to and were involved in their care. People’s right to privacy was maintained by the actions and care given by staff members.

People’s personal and health care needs were met and they were happy with the care they received. A complaints system was in place.

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

Rating at last inspection

This service was registered with us on 23/10/2017 and this is the first inspection.

Why we inspected

This was a planned inspection based on the provider’s registration and provision of care dates.

Enforcement

We have identified breaches in relation to assessing and management of risk, staff recruitment checks, care planning and assessing the quality of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

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 19 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 19 November 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 19 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 19 November 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 19 November 2019

The service was not always well-led.

Details are in our well-Led findings below.