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Alpha Quality Care Newport Inadequate

Inspection Summary


Overall summary & rating

Inadequate

Updated 6 May 2020

About the service

Alpha Quality Care is a domiciliary care agency that provides personal care to people in their own homes within the community. At the time of the inspection, the service was providing care to ten people.

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

We found significant shortfalls in the safety and management of the service which placed people at risk of harm. Not all people that received care from Alpha Quality Care were confident that the care they received was safe.

People were at risk of harm due to poor medicines management. We could not be sure people had received their medicines safely and as prescribed.

Risk assessments were not always used effectively to identify and reduce risks to people. Written information for staff detailing how people should be supported safely was not updated in a timely way.

We were not assured that all pre-employment checks had been completed and the system to ensure staff were appropriately trained and skilled to provide care was not robust.

Infection control procedures and guidance was not always followed by staff which placed people at risk of potential infection.

Due to the quality of the care records we could not be assured care had been provided in line with peoples assessed needs, wishes and choices.

We received mixed views from people and relatives about the caring nature of the staff. We could not be assured people were always treated with dignity and respect.

There was a lack of systems and management oversight to ensure care was being provided as required. People were at risk due to poor governance and record keeping at the service. The services quality assurance systems were not robust or effective in identifying shortfalls.

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 this practice.

The registered manager and provider acknowledged these shortfalls during the inspection and agreed to introduced changes to improve the situation.

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 20 March 2019).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified the following breaches at this inspection.

Regulation 12 (Safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider had failed to ensure risks relating to the safety and welfare of people using the service were assessed and managed.

Regulation 10 (Dignity and respect) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider failed to ensure people were treated with dignity and respect.

Regulation 19 (Fit and proper persons) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider failed to ensure systems and processes were consistently implemented to ensure fit and proper persons were employed.

Regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider failed to ensure records were consistent, up to date and detailed and to operate effective systems to assess, monitor and improve the service.

Full information about CQC's regulatory response to the more serious concerns found in inspections and appeals is added to reports after any representations and appeals have been concluded.

Follow up

The overall rating for this service is 'Inadequate' and the service is therefore in 'special measures'. This means we will keep the service under review and, if we do not propose to cancel the provider's registration, we will re-inspect within 6 months to check for significant improvements.

If the provider ha

Inspection areas

Safe

Inadequate

Updated 6 May 2020

The service was not safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 6 May 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 6 May 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 6 May 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 6 May 2020

The service was not well-led.

Details are in our well-Led findings below.