We carried out a review of the data available to us about The Winning Box 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 The Winning Box, you can give feedback on this service.
The Winning Box is a domiciliary care service providing personal care to people in their own homes. At the time of the inspection there were six people receiving personal care. This included older people and people living with dementia.
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.
At the time of the inspection, the provider informed us they had moved the address if their office location to a new address in the same area and had changed the name of the location from Ohio Homecare Ltd to The Winning Box. However, the service continues to maintain the same registration on the CQC register.
People’s experience of using this service and what we found
Care plans and risk assessments were in place and were person-centred. The staff had access to information and clear guidelines about people’s needs to help ensure they supported them safely and met these.
There had been improvements to the way medicines were managed and there were arrangements to ensure people received these safely.
There were suitable systems in place to help protect people from the risk of infection and cross contamination.
The provider had implemented safe recruitment processes. New staff were suitable and had the skills and knowledge they needed to support people. These included recruitment checks, regular training, supervision and appraisal.
People were protected from the risk of avoidable harm. The risks to people's safety and wellbeing had been identified, assessed or managed. The provider had appropriate systems for investigating allegations of abuse, complaints and concerns.
The provider's systems for monitoring and improving quality were operated effectively and there were systems in place to mitigate identified risks. The provider had processes for learning when things went wrong.
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 and relatives said staff were kind and caring, treated them with dignity and promoted their independence. People were mostly supported by regular staff which helped to maintain continuity. Staff understood their roles and responsibilities and felt the management team was approachable.
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 30 September 2021) and there were breaches of regulation. 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.
Why we inspected
We undertook the inspection to see if the provider had made improvements since the last inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Ohio Homecare Ltd is a domiciliary care service providing personal care to people in their own homes. At the time of inspection there were eight people receiving personal care. This included older people and people living with dementia.
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
Medicines were not always managed safely. The service could not provide assurances that people had been given their medicines as prescribed. The provider did not have effective quality assurance systems to assess, monitor and improve the quality of all key areas of the service.
Care plans and risk assessments were in place. However, they contained limited information for staff in relation to people's health needs and guidance for staff to help them support people safely. We have made a recommendation that every person using the service has care delivered in line with their needs and person-centred care plans. We have also made a recommendation that the provider implements a system for the provision of end of life care.
Not all staff had received the training necessary to effectively support all of the people who used the service. The provider confirmed that outstanding training is in the process of being completed.
People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.
People and relatives said staff were kind and caring and treated them well. People were consistently supported by regular staff which helped to maintain continuity.
Staff were supported in their roles and received regular supervision to discuss aspects of their work and share information in a one to one setting. Staff told us they understood their roles and responsibilities and felt the registered manager was approachable.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was not able to fully demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. Positive feedback was received from people using the service and their relatives about staff promoting their dignity and maintaining their independence. However, the provider had ineffective systems and processes and could not ensure people were receiving care in line with their care needs.
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 27/03/2020 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
Enforcement
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 discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We have identified breaches in relation to safe care and treatment, consent to care and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
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.