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Infinite Care Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 November 2020

About the service

Infinite Care is a provider of community home care services providing personal care to 42 people aged 65 and over 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

The provider did not always have effective governance systems in place to monitor the service and drive the necessary improvement. There was a lack of detailed records regarding care records and recruitment management. Quality assurance systems had not always been effective in identifying the concerns we found at this inspection or fully addressed concerns from our last inspection.

People were not always supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

The provider had not always ensured safe recruitment practices were taking place. Gaps in candidate's employment history had not been identified or followed up. This meant the provider was not always able to consider whether the applicant's background impacted on their suitability to work with people. We made a recommendation about this.

Systems were in place to seek feedback from people, their relatives and staff. However, these were not always effective. We have made a recommendation about this.

The staff we spoke to did not always feel well supported through training and supervision. We have made a recommendation about this.

The provider had not updated their infection control policy to reflect current guidance in relation to Covid-19. We have made a recommendation about this.

Staff had good access to personal protective equipment (PPE) and understood the current guidance in relation to wearing PPE.

People and their relatives felt there was enough staff for people to be safely supported. However, some people were concerned that the level of care and support declined when they did not have their regular carers.

Staff in the service worked well with each other and external professionals to ensure good health outcomes for people. People were supported to prepare food and drinks that met their needs and preferences.

Regular team meetings took place for staff. Staff who supported people regularly were knowledgeable about them and their needs.

People's preferences and choices regarding protected characteristics had been explored with people in line with The Equality Act 2010.

The registered manager demonstrated a willingness to make improvements and during the inspection began reviewing their systems and process to ensure the service consistently provided good, safe, quality care and support.

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 3 December 2019). There was one breach of regulation in relation to regulation 12, Safe Care and Treatment, specifically around proper and safe management of medicines. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Infinite Care on our website at www.cqc.org.uk.

At this inspection we found enough improvement had not been made and the provider was still in breach of regulation 12. We also found two new breaches of regulations in relation to consent and governance. The last rating for this service was requires improvement (published 3 December 2019). The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive insp

Inspection areas

Safe

Requires improvement

Updated 11 November 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 11 November 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 11 November 2020

Responsive

Good

Updated 11 November 2020

Well-led

Requires improvement

Updated 11 November 2020

The service was not always well-led.

Details are in our well-Led findings below.