26 April 2022
During an inspection looking at part of the service
Imaan Care is a domiciliary care agency located in the London Borough of Hammersmith and Fulham.
Not everyone using the service received support with tasks related to personal care and eating. CQC only inspects services where people receive this type of care and support. We also consider any wider social care provided.
At the time of the inspection, the service was providing a personal care service for one person with complex health care needs.
People’s experience of using this service and what we found
People were not being protected from the risk of harm because risk assessments were either absent or incomplete and out of date.
Safe recruitment practices were not always undertaken to make sure staff were suitable to work with vulnerable people.
People's health care needs were not understood by the registered manager and staff were not provided with the guidance and training they needed. This included the absence of safe support guidance for eating and drinking.
Staff supported people to take their medicines where this formed part of an agreed package of care. However, robust recording systems were not in place to support safe medicines practices.
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. However, the policies and systems in the service did not always fully support this practice.
The registered manager was not carrying out effective quality assurance checks and was not identifying the concerns for people's safety that we identified. We did not find satisfactory improvement since the last inspection.
For more details, please see the full report which is on the CQC website www.cqc.org.uk
Ratings at the last inspection and update
The last rating for this service was requires improvement (published 29 October 2019). At this inspection the rating had deteriorated to inadequate.
Why we inspected
This inspection was prompted by a review of the information we held about the service.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.
We have identified ongoing breaches in relation to recruitment, risk assessments, medicines management, staff training and support and quality assurance processes.
Full information about CQC's regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
The overall rating for this service is ‘Inadequate’. 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 has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.
For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.