We carried out a review of the data available to us about Unit Gelder Road on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Unit Gelder Road, you can give feedback on this service.
Loidis care services is a domiciliary care agency providing personal care to adults living in their own homes, some of whom require end of life care. At the time of the inspection, the service was supporting five people.
People’s experience of using this service and what we found
People told us they felt safe with the care received. We found improvements continued to be required in how risks to people’s care were recorded, although staff and the registered manager were knowledgeable about risks and how to manage these.
At our last inspection, we made a recommendation in relation to the management of medication. At this inspection, we found improvements continued to be required in the recording of 'as and when required' medication, although the other areas of medicines management were safe.
Staff had been trained in safeguarding adults and were able to identify signs of abuse and neglect. During this inspection we had to ask the registered manager to make a safeguarding referral due to one allegation made by a relative of unsafe moving and handling manoeuvre performed by staff. There had been one safeguarding incident the registered manager had not reported to the Care Quality Commission in line with their responsibilities. We made a recommendation for the registered manager to review the relevant guidance.
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’s nutritional and hydration needs were met appropriately and in accordance with people’s choices.
Staff felt well supported by the registered manager and there were systems in place to ensure staff were inducted into their jobs, trained, monitored and supported regularly.
People and relatives told us staff were kind and the registered manager approachable.
People’s care was planned in a person centred way and staff knew people well. People’s diverse needs and preferences were considered and respected.
There were quality assurance policies and procedures in place and these were followed.
The registered manager was supportive and actively collaborated with the inspection process and either took immediate action to address the issues found or told us about their plans to improve. People, relatives and staff shared positive feedback about the management of the service.
Rating at last inspection
We completed a focused inspection on this service on 2 and 3 September and 7 October and we found the safe domain was requires improvement and the well led domain was good, but we did not award an overall rating to the service.
Why we inspected
This was a planned inspection based on the previous inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Loidis care services is a domiciliary care agency providing personal care to adults living in their own homes, some of whom require end of life care. At the time of the inspection, the service was supporting three people.
People’s experience of using this service and what we found
Relatives of people using the service were complimentary about the care provided and the positive impact it had on their loved ones and themselves. One said, “The smile on my [relative’s] face when [care workers] arrive is so good to see.”
Improvements were required in how risks to people's care were recorded. However, staff were aware of risks to people's care and knew how to manage these. Relatives felt their loved ones received safe care.
Overall medication was managed well, however improvements were required in recording the support provided with prescribed creams and ‘as and when required’ medication. We have made a recommendation about the management of these medicines.
Recruitment processes did not always evidence robust checks had been undertaken to ensure staff were safe to work with vulnerable people.
There were several quality assurance processes in place which were checking important areas of care delivered, however these had not always been effective in identifying some of the issues found at this inspection.
Staff and the registered manager were knowledgeable about identifying and reporting safeguarding concerns. The provider ensured staff followed safe infection control practices. People were protected from the risk of infection and plans were in place to mitigate the increased risks from the current Covid-19 pandemic.
We received positive feedback about the registered manager being approachable and caring. The management team demonstrated a willingness to continuously learn and improve.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 8 April 2019 and this is the first inspection.
Why we inspected
This service had been registered with CQC for over a year. As a result, we undertook a focused inspection to review the key questions Safe and Well-led only.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.