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Alpha Quality Care Newport Inadequate

Reports


Inspection carried out on 3 March 2020

During a routine inspection

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 carried out on 15 February 2019

During a routine inspection

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 nine people.

People’s experience of using this service:

• Most staff had completed essential training and were knowledgeable of how to support people effectively. However, we identified a staff member who had not received training in topics that the provider considered mandatory and another staff member who had not received refresher training in key areas.

• People received their medicines safely and as prescribed, however records of medicines administration had not always been completed fully and accurately.

• There was no direct support available to provide cover for the manager, which mean that should they be absent, appropriate cover may not be in place.

• Quality assurance checks were in place, which included a range of audits carried out by the manager, however these had not identified the concerns we found in relation to medicines records and staff training.

• People were supported by staff with their nutritional and hydration needs. Staff worked in collaboration with health and social care professionals where required.

• People received timely and consistent team from a group of staff that understood their needs well.

• Staff treated people with kindness and compassion. Staff had developed positive relationships with people and their relatives and knew what mattered most to them.

• People’s cultural and diversity needs were assessed, recorded and respected by staff appropriately.

• Most people had a clear, detailed and person-centred care plan in place, which guided staff on the most appropriate way to support them.

• Complaints were dealt with and investigated appropriately by the manager. People felt able to raise concerns.

• The manager kept in contact with people and sought their feedback about the service in a variety of ways.

• Rating at last inspection:

This was the first inspection of the service since they registered with the Care Quality Commission.

Why we inspected:

This was a planned inspection.