Edmonton Also known as Enfield

Edmonton, most commonly known as We Care 4 You Services Ltd, is a domiciliary care agency providing personal care and support to people living in their own homes. People’s needs were varied and included older people and people who had physical disabilities. At the time of the inspection, 7 people living in Buckinghamshire were using the service.

All of the 7 people 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, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

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

People felt safe with the service they received. Staff were caring and protected people from abuse. Risks to people were assessed and mitigated by having clear guidance in place. People received their medicines safely and as prescribed.

People received care and support from a consistent staff team. Staff had the right skills and training, and received appropriate support to perform their roles effectively.

Staff assessed people’s individual needs before providing care and support to them. People received support with eating and drinking as set out in their care plans. Staff worked with other healthcare agencies to support people to live healthy lives.

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.

The service was responsive to people’s changing needs. Care plans contained detailed information about people which meant staff had a clear understanding of people’s needs. While people and their relatives had no complaints, a system was in place to manage complaints effectively.

People and their friends/relatives were included in managing their care and were satisfied with the care and support they received. Staff felt able to speak up and worked as a team to improve the service. The registered manager monitored the quality of service and understood their responsibilities to provide a safe environment for people, their relatives and staff.

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 15 June 2021) and there were breaches of regulations around safe care and treatment, and good governance. 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 improvements had been made and the provider was no longer in breach of regulations.

At our last inspection we recommended that the provider ensure care plans were person centred and reflective of people's assessed care needs. At this inspection we found care plans had been improved and contained personalised information about people’s needs.

Why we inspected

We undertook this focused inspection to check the provider had followed their action plan following the last inspection and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe, effective, responsive and well-led where issues were found previously.

For the key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Edmonton on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

We Care 4 You Services Ltd, also known as Edmonton is a domiciliary care agency providing personal care to people living in their own homes. Nine people were receiving personal care from the service at the time of the inspection.

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

Not all risks to people’s health and safety had been identified and assessed. Risk assessments did not always contain guidance for staff about how to reduce risks and support people to remain safe.

Medicines management and administration processes were not always safe. There was a lack of clear information, guidance and records to ensure people were receiving their medicines safely and as prescribed.

The provider had systems in place to monitor the quality of the service and make improvements where needed. However, they failed to identify some of the areas for improvement we found. The providers policies were not always up to date and reflective of current best practice.

Most people and relatives told us that they were satisfied with staff attending care calls on time. However, we identified gaps in the rota process where staff scheduled to attend a care visit differed from the staff who actually attended.

We have made a recommendation around ensuring care plans were person centred and reflective of people’s assessed care needs. Some care plans lacked detail on how people’s health and medical conditions impacted on the way they received care.

Staff were safely recruited with required checks completed prior to starting employment.

People were supported with health and medical needs and staff engaged well with health and care professionals.

People and their families spoke positively of the caring and supportive staff and management team. People were overall happy with the service.

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. However, the policies and systems in the service did not support this practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Why we inspected

This service was registered with us on 31 July 2019 and this is the first inspection.

Enforcement

We have identified breaches in relation to medicines management, assessing risk and good 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 request an action plan for 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.