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Inspection summaries and ratings from previous provider


Overall summary & rating

Requires improvement

Updated 6 October 2018

The inspection took place on the 13 and 14 September 2018 and was announced.

Krinvest Head Office was previously inspected in March 2018. During the inspection we found a number of breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These related to: staffing; fit and proper persons employed; safeguarding service users from abuse and improper treatment; safe care and treatment; receiving and acting on complaints and governance arrangements. We also found that an offence had been committed under the Care Quality Commission (Registration) Regulations 2009 as the registered person had not notified the Commission of incidents or allegations of abuse.

Following the last inspection, the registered provider was placed into special measures by CQC. The registered provider was asked to complete an action plan to confirm what they would do and by when to improve the five key questions we ask. They are: is the service safe, effective, caring, responsive and well led.

At this inspection we found that the registered provider had taken action to address the breaches identified at the last inspection and made enough improvements to be taken out of special measures.

Krinvest Head Office provides care and support to people living in supported living settings, so that people can live in their own home and reach greater autonomy, social integration and independence.

People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

At the time of the inspection, the service was providing the regulated activity of personal care to six people with complex mental health and social care needs who were living in their own homes in Warrington and Liverpool. The service is provided by Krinvest Limited and coordinated from an office in Warrington.

The service did not have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Since our last inspection, the registered provider had appointed a new manager for the service who had applied to register as the manager of Krinvest Head Office with the Care Quality Commission. During the second day of our inspection we noted that the manager attended a site visit from a registration inspector employed by CQC. We received confirmation on the same day that that the new manager’s application had been approved and that they would be registered as the manager of the service in due course.

We found that people's needs had been assessed and planned for. Records contained information on the holistic needs of people using the service, their care and support plans, risk assessments and crisis management plans.

Support plans and supporting documentation had been audited, updated and reviewed to ensure they contained personalised information about people’s needs, their short and long-term goals and the required interventions by staff. This information helped staff to be aware of how to provide effective support and keep people safe.

People told us that they received care and support from staff and other health and social care professionals who treated them with dignity and respect and were responsive to their needs.

People were encouraged to maintain a healthy diet subject to people’s individual choice and preferences. Likewise, people were supported to access routine health care appointments when required.

We found that staff responsible for administering medication had been provided with medication training so that they understood how to support people to manage their medication safely. We identified that further action was needed in regard t

Inspection areas

Safe

Requires improvement

Updated 6 October 2018

The service was safe.

Policies and procedures were in place to provide guidance to staff about safeguarding adults and staff understood how to recognise and respond to allegations or suspicion of abuse.

Recruitment records and processes had been reviewed and developed to minimise the risk of unsuitable people being employed to work with vulnerable people.

Systems had been established and further initiatives were being introduced to help protect people from the risks associated with unsafe medicines management.

Staff were aware of current risks to people using the service and the required actions to keep people safe.

Effective

Requires improvement

Updated 6 October 2018

The service was effective.

People's needs had been assessed to ensure they received care and support that was tailored toward their individual needs and within the eligibility criteria of the service.

Training and development systems had been improved to ensure staff had access to induction, mandatory and service specific training.

Policies, procedures and training relating to the Mental Capacity Act had been developed, to provide guidance and information for staff on this protective legislation.

Staff supported people to maintain a healthy lifestyle and worked in partnership with other health and social care professionals when necessary.

Caring

Requires improvement

Updated 6 October 2018

The service was caring

People were able to express their views and were actively involved in decisions about their care.

People were treated with respect and their dignity and privacy was respected and promoted by the service.

Responsive

Requires improvement

Updated 6 October 2018

The service was responsive.

Care planning processes had been established to ensure the diverse needs and support requirements of people were identified and acted upon.

People received care that was personalised to their needs and focussed on promoting their independence and well-being.

Accessible systems had been developed for managing and responding to formal complaints.

Well-led

Requires improvement

Updated 6 October 2018

The service was well led.

A new manager had been appointed to provide leadership and direction for the service who was in the process of registering with the CQC.

Governance processes had been reviewed and quality assurance systems developed to improve oversight and scrutiny of the service. This included seeking the views of people using the service.