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MIC Healthcare Solutions Requires improvement


Inspection carried out on 31 July 2019

During a routine inspection

About the service

MIC Healthcare Solutions is a domiciliary care service providing personal care to people who live in their own homes. The service supported 10 people at the time of this inspection.

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

We found that the registered managers had not ensured that people had detailed and robust risk assessments, outlining the risks and the potential risks which they faced each day. This information would assist the registered managers in managing people’s needs and guiding staff about what they needed to do, in order to promote people’s safety.

A safeguarding event had taken place which highlighted that potentially a person and others were at risk of experiencing harm. Although the registered managers had taken action, their actions fell short at fully promoting people’s safety. Time was not given to see what could be done differently and if lessons could be learnt for the future. Staff knowledge in how to protect people from abuse and harm needed improving.

Staff recruitment checks were not fully completed to check people were safe around staff. The registered managers and nominated individual (the nominated individual is responsible for supervising the management of the service on behalf of the provider), had not completed robust audits and checks on the service. There were also shortfalls in the registered person’s knowledge about elements of providing high quality care.

People’s assessments, care plans, reviews, and end of life plans lacked details about how people’s care should be delivered. They were also not always personal to individuals.

We recommended the provider sought guidance about improving these documents.

The registered managers were not completing full competency checks on staff and providing support in terms of regular supervisions and team meetings.

Staff spoke positively about the registered managers. They felt they were responsive and were always at hand if they needed guidance. Staff felt the training and their inductions to their work prepared them well to do their jobs. Staff said they had time to spend with people and enough travel time to generally visit people on time.

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.

People spoke positively of the staff who supported them. They told us that staff were kind and caring and polite. People and their relatives told us that they would recommend the service to others, and one person had. People said they saw regular staff at times they were happy with. People told us staff promoted their privacy and respected their homes. People did not feel rushed when staff supported them. Some people felt connected to the staff who supported them. Relatives told us that staff kept them informed and involved as appropriate.

Rating at last inspection

This service was registered with us on 23 August 2018 and this is the first inspection.

Why we inspected

This was a planned inspection based on the date of registration with CQC.

We have identified a breach in the governance of the service. In relation to managing people’s safety and the lack of systems to enable the registered managers and the provider to effectively monitor and test the quality of the service.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the systems to assess the quality of the service and promote people’s safety. We will continue to monitor information we receive about