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Inspection Summary


Overall summary & rating

Inadequate

Updated 5 June 2021

About the service

Super Healthcare Limited is a domiciliary care agency providing personal care to people in their own homes. 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. At the time of the inspection we were given contact details for six people, however this was not correct and we unable to ascertain how many people the service was supporting.

People’s experience of using this service and what we found

People’s risks and care needs had not been properly assessed or documented. There was a lack of information about how staff should support people with needs such as mobility, diabetes and medicines.

The registered manager had failed to ensure staff were recruited safely. There were no records to show if staff working for the provider were of a suitable character to work with vulnerable people.

The registered manager was not following current government guidance in relation to infection control. Staff were not taking part in regular testing for COVID-19 which placed people at risk of being exposed to the virus.

There were widespread and significant shortfalls in the way the service was led. Governance and quality assurance systems were not in place to monitor the service and ensure people were receiving safe and appropriate care.

The registered manager had failed to act on the findings of the previous inspection and make improvements to the way the service was run.

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 last rating for this service was requires improvement (published 27 April 2020) and there were multiple breaches. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection, improvements had not been made and the provider was still in breach of regulations.

Why we inspected

The inspection was prompted in part by notification of a specific incident. Following which a person using the service sustained a serious injury. This incident is subject to a criminal investigation. As a result, this inspection did not examine the circumstances of the incident.

The information CQC received about the incident indicated concerns about the management of people’s care in relation to scalding. This inspection examined those risks.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

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

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 will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to the management of risk, safe staff recruitment and weaknesses in the management of the service at this inspection. 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 requested 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

The overall rating for this service is ‘Inadequate’ and the service is

Inspection areas

Safe

Inadequate

Updated 5 June 2021

The service was not safe.

Details are in our safe findings below.

Effective

Good

Updated 5 June 2021

Caring

Requires improvement

Updated 5 June 2021

Responsive

Requires improvement

Updated 5 June 2021

Well-led

Inadequate

Updated 5 June 2021

The service was not well-led.

Details are in our well-Led findings below.