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Archived: Kalcrest Care Ltd

This service was previously registered at a different address - see old profile

The provider of this service changed - see new profile

All reports

Inspection report

Date of Inspection: 10, 11, 16 April 2013
Date of Publication: 17 May 2013
Inspection Report published 17 May 2013 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Not met this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 10 April 2013, 11 April 2013 and 16 April 2013, talked with people who use the service and talked with staff. We were accompanied by a pharmacist.

Our judgement

The provider did not have effective systems in place to identify, assess and manage risks to the health, safety and welfare of people using the service and others.

Reasons for our judgement

At our last inspection we found the service was not compliant with how they administered medication and people could not be confident they would receive appropriate and safe care. At this inspection we have found the people we talked to had received the correct medication and care but the systems in place to ensure the records reflected the medication and care were not effective. We talked to the registered manager who explained the service had increased the number of people it provided a service to. This had meant they were reviewing the systems they had in place to assess and monitor the quality of the service provided.

They told us they had previously looked at all of the care records and medication administration sheets when they came into the office to ensure staff were providing people with consistent and safe care. However, following the increase in the number of people who used the service they had found this difficult to sustain. We discussed the issues found with the medication and care records. The manager assured us that they told would develop a robust system with senior staff to resolve this.

We asked about how the provider reviewed the complaints and concerns to identify if there were any patterns and how they had responded to them. They told us although they were aware of all concerns they did not collate or formally review them. However they acknowledged with the increase in the number of people they provided care to this would be necessary in the future.

With their permission we telephoned five people who used the service and visited two people in their homes so they could tell us their experiences of the agency. All told us the service was “very good” or they were “very happy”, one person said it was “excellent and they could not wish for better carers”. Four people told us the agency had sought their views about the quality of the service provided.

Although people told us positive things about the service, we have found that the systems in place were not robust enough to ensure the quality of the service and the safety of the people who used it. The registered manager had already identified that the increase in the people using the service had impacted on their ability to sustain the systems in place. As a result they assured us that they would work with senior staff to resolve this.