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Archived: Atlas Care Services Ltd Wisbech Inadequate

Inspection Summary


Overall summary & rating

Inadequate

Updated 19 March 2020

About the service

Atlas Care Services Ltd Wisbech is a domiciliary care agency providing personal care to people in their own homes. At the time of the inspection 113 people were receiving a service. 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 continued lack of provider oversight of the service, in spite of the enforcement action we took following our last inspection. People’s health, safety and welfare continued to be at risk because the provider did not have effective systems in place to assess, monitor and improve the quality of the service. Ten of the 11 people/relatives we contacted told us they were not satisfied with the service they received. Staff continued to not be deployed effectively, which meant that care calls were frequently late, did not always last the correct amount of time and some people received care from a high number of different staff.

The provider had failed to manage safety effectively, which placed people at risk of harm. Risk management was not robust enough to ensure staff knew how to minimise risks to people. Safeguarding policies and procedures were not always followed, putting people at risk of abuse. Staff did not always have the training or support to carry out their role in line with current good practice.

People’s care plans had not all been reviewed or kept up to date so there was a risk that people did not get the care they needed in the way they preferred. Complaints were not always responded to and not addressed.

People were not 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.

We have made a recommendation about involving people in decisions about their care.

Some improvement had been made since our last inspection in that there had been far fewer missed calls. People spoke highly of the staff who provided their care and were satisfied with the way staff gave them food and drink.

During our first site visit there was a registered manager in post. They resigned from their post before the inspection was concluded.

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 inadequate (report published 10 September 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

This service has been in Special Measures since our last inspection. During this inspection the provider demonstrated that not enough improvements had been made and they remained in breach of regulations. The service is rated as inadequate overall and in three of the key questions. Therefore, this service remains in Special Measures.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

We have found evidence that the provider needs to make improvements. Please see the safe, effective, caring, responsive and well-led sections of this full report.

The provider had appointed senior staff to oversee and improve the service. However, they had been in post for three months but had not addressed and rectified the shortfalls we found at the last inspection.

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

Enforcement

We have identified breaches in relation to complying with regulations; governance; staffing; safe care and treatment; person-centred care; complaints; and

Inspection areas

Safe

Inadequate

Updated 19 March 2020

The service was not safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 19 March 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 19 March 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Inadequate

Updated 19 March 2020

The service was not responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 19 March 2020

The service was not well-led.

Details are in our well-Led findings below.