About the service My Homecare Redbridge is a domiciliary care agency and is based in the London Borough of Redbridge. The service provides personal care to people in their own homes. 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.
The service was supporting 11 people with personal care at the time of the inspection.
People’s experience of using this service
Risks assessments were not robust to ensure people received safe care. Systems were not in place to ensure staff attended calls on time.
Some care plans were not accurate and we found one person did not have a care plan to ensure they received safe person-centred care. Staff supervisions were not regular to ensure staff were being supported at all times. Robust assessments were not carried out on nutrition. We made a recommendation in this area.
Robust audit arrangements were not in place to ensure shortfalls could be identified and prompt action taken. Regulatory requirement were not being followed and CQC had not been notified where there had been allegations of abuse.
Staff were aware of how to safeguard people from abuse. Systems were in place to prevent and minimise the spread of infections when supporting people. Pre-employment checks had been carried out to ensure staff were suitable to work with vulnerable people. Medicines were being managed safely.
Staff had been trained to perform their roles effectively. People were supported to have maximum choice and control of their lives. Staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People received care from staff who were caring and had a good relationship with them. Staff respected people’s privacy and dignity. People were encouraged to be independent and to carry out tasks without support.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The previous rating for this service was Good (published 20 January 2021).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.
You can read the report from our last inspection, by selecting the ‘all reports’ link for My Homecare Redbridge on our website at www.cqc.org.uk.
Enforcement and recommendations
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 will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to safe care and treatment, staffing, person-centred care and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
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
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.