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Rock of Ages Care Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 24 October 2020

About the service

Rock of Ages is a domiciliary care service providing personal care and support for people in their own homes. The majority of people receiving support had their care funded by the local authority. At the time of the inspection the service provided support for 14 people.

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

Since the last inspection, the provider had updated their medicines policy, but medicines were still not always managed safely. We made a recommendation to the provider to seek guidance on ensuring people received their calls in a timely way.

The provider had implemented new quality assurance systems and structures, but these were not always effective as the provider had not identified the concerns, we found in relation to medicines management, staff attendance and lateness.

Despite some concerns regarding lateness, people reported they felt safe with the staff who supported them. At our last inspection we made a recommendation in relation to the provider’s safeguarding procedures. At this inspection, improvements had been made. Each person had a risk assessment and these plans identified what action staff could take to mitigate potential risks.

Staff were provided with personal protective clothing and staff followed the providers infection control guidance. The provider had robust procedures for recruiting and inducting staff to help ensure only suitable staff were employed.

The provider had updated their assessment processes and each person had a new care plan completed. There was information available throughout people's care plans which enabled staff to provide person centred care. People and their relatives had been involved in the care planning process. People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff attended team meetings and they had regular supervisions and appraisals in line with the provider’s policy. People and their relatives spoke well of the registered manager and felt they were committed to delivering safe care and support.

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 rating at the last inspection (published 17 January 2019) was inadequate 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. At this inspection we found some improvements had been made. However, we identified further improvements were needed in respect of managing medicines, and governance.

This service has been in Special Measures since 16 January 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This was a targeted inspection to check whether the provider had met the requirements of the Warning Notices in relation to regulations 12 (Safe care and treatment) and 17 (Good governance) of the Health and Social Care Act 2008. (Regulated Activities) 2014. When we were on site, we made the decision to carry out a focused inspection and look at Safe, Effective, Responsive and Well-led. This report only covers our findings in relation to these Key Questions.

Enforcement

We have identified breaches in relation to safe care and treatment and good governance.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will continue to monitor

Inspection areas

Safe

Requires improvement

Updated 24 October 2020

The service was not always safe.

Details are in our Safe findings below

Effective

Good

Updated 24 October 2020

The service was effective.

Details are in our Effective findings below.

Caring

Requires improvement

Updated 24 October 2020

Responsive

Good

Updated 24 October 2020

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 24 October 2020

The service was not always well-led.

Details are in our Well-Led findings below.