.About the service Newferry is a domiciliary care service providing personal care to three people in the community at the time of the inspection.
People’s experience of using this service and what we found
Relatives we spoke with told us that they felt people were safe however, during the course of the inspection we identified concerns with the service. Medicines were not always managed safely, medicines records were not always consistent with the care and support people received. The provider did not have systems in place for assessing and monitoring the quality of the service however, there had been little oversight of the service.
The provider had policies in place covering a range of topics however the practice of the staff did not always match the policies.
We have made a recommendation about safe induction, training supervision and documentation in regard to consent.
Enough staff were available and effectively deployed to ensure people's needs were met. The service followed appropriate recruitment checks. Staff followed infection control procedures to minimise the spread of diseases. Before people started using the service their needs were assessed. People were supported with food and drink for their health and well-being. People were supported to maintain good health and staff engaged with healthcare professionals to provide care and treatment where required. People and their relatives said they knew how to make a complaint and were confident their complaints would be addressed.
Care plans we saw contained details about people’s routines, preferences and how staff were to support them. However, care plan records did not always contain consistent information.
Relatives were complimentary of the care and support they or their loved ones received from staff that were kind, compassionate and treated them respectfully.
People’s privacy and dignity was respected, and their independence promoted. People and their relatives were involved in making decisions about their care and support needs and their views were respected.
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.
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 20/05/2019 and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about staff training and governance. A decision was made for us to inspect and examine those risks.
We have found evidence that the provider needs to make improvements. Please see the safe, effective, responsive and well-led sections of this full report.
Enforcement
We have identified breaches in relation to medication and governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
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.