Background to this inspection
Updated
11 July 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection team consisted of one inspector.
Service and service type:
100% Care Services Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
Our inspection was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in.
Our inspection process commenced on 22 May 2019 and concluded on 23 May 2019. It included visiting the service's office and telephoning people who used the service and their relatives. We visited the office location on 22 May 2019 to see the registered manager and to review care records and policies and procedures. We telephoned people who used the service, relatives and care staff on 23 May 2019.
What we did:
Our inspection was informed by evidence we already held about the service. We also checked for feedback we received from members of the public and the local authority. We checked records held by Companies House.
Due to technical difficulties, we did not ask the service to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
We spoke with one person who used the service and two relatives.
We spoke with the registered manager, and two care workers.
We reviewed four people's care records, four staff personnel files, and other records about the management of the service.
After the inspection the provider sent us information we requested.
Updated
11 July 2019
About the service:
100% Care Services Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to the whole population. Everyone using 100% Care Services Limited received a regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
At the time of the inspection, it was providing a service to five people.
People’s experience of using this service:
People were not protected from the risk of harm. Risks to people were not being assessed and planned for and staff did not have guidance on how to care for people safely.
The provider had not deployed safe systems of care to manage people’s medicines.
Safe recruitment processes were not always followed to ensure staff were suitable to work with vulnerable people.
There was no effective system to determine if people received their care as required or as planned. Most people did not have a support plan that would contain information about people’s preferences or choices.
Staff followed appropriate procedures in seeking people’s consent however the provider was not recording consent in line with the Mental Capacity Act 2005 (MCA). People and relatives told us they were offered choice with the care provided.
There was a lack of oversight of the service and the provider had not developed a systematic approach to quality assurance to identify shortfalls and drive improvements.
People and relatives told us staff were caring and treated them with dignity and respect.
Relatives and staff felt the registered manager was approachable.
Rating at last inspection:
The service was registered by CQC on 9 November 2018. This is the service’s first inspection since its registration. This is the first time this service has been rated Inadequate.
Why we inspected:
This was a planned comprehensive inspection. Newly registered services are inspected within a year of their first registration. The inspection was brought forward due to information of concern raised by the funding local authority.
Enforcement:
We have found six breaches of the regulations and the service is now rated Inadequate in three key questions and overall. We subsequently cancelled the provider's registration to provide the regulated activity of Personal Care, Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.