21 June 2022
During a routine inspection
At the time of the inspection, the location did not provide 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.
About the service
Castlewood Road is a domiciliary care service that provides personal care to adults with a range of support needs living in their own home or within a supported living setting. At the time of the inspection the service was providing personal care to one person living in their own home in the local community.
People’s experience of using this service and what we found
A relative spoke positively of the service and told us their relative was safely supported. However, despite this positive feedback we found issues with the management of a person’s risks, staff recruitment and management oversight.
The service had systems in place to monitor the quality and safety of the service, however they did not identify the issues we found during the inspection.
We found examples where a person’s risks had not been sufficiently assessed and documented in their care records.
We found safe recruitment procedures were not being followed.
We made a recommendation around the personalisation of people's care records.
Staff followed infection prevention and control measures
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.
A person was supported to access and maintain a balanced and healthy diet where required.
A relative told us a person was supported by kind and caring staff that respected their privacy and supported their independence.
Staff knew the person using the service well, however aspects of a person’s care plan were not detailed or up to date. A person and their relative were involved in the planning and reviewing of their care.
The management team sought the views of people using the service. A person’s relative told us they were satisfied with the service received.
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 17 December 2019 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service. We have found evidence that the provider needs to make improvements. Please see the safe, responsive and well led sections of this full report.
Enforcement and Recommendations
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 monitor the service and will take further action if needed.
We have identified breaches in relation to safe care and treatment, staff recruitment 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 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 continue to monitor information we receive about the service, which will help inform when we next inspect.