MK Executive Care Midlands

Updated 24 December 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and

regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

This service is a domiciliary care agency

It provides personal care to people living in their own houses and flats.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

The registered manager was also the provider / nominated individual and is responsible for supervising the management of the service.

Notice of inspection

We gave the service 48 hours' notice of the inspection. This was because we needed to be sure someone would be in the office to support the inspection.

We visited the office location on 28 October and carried out telephone calls to people, staff and relatives on 27 October and 01 November 2021.

The provider who was also the registered manager was away when we inspected the service. The provider had a representative who knew the service well who supported the inspection process.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority commissioners who work with the service. The provider was requested to complete

the Provider Information Return. This is information providers are required to send us with key information about the service, what it does well and improvements they plan to make. This information helps support our inspections. We used all this information to help plan our inspection.

During the inspection

We spoke with two people who used the service and five relatives about their experience of the care provided. We spoke with two support workers, the office administrator and the provider's representative.

We reviewed a range of records. This included four people's care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the

management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found and we spoke with another relative. We looked at further policies and procedures and care records. The provider and registered manager were away when we inspected so we provided feedback to them on 11 November 2021.

Updated 24 December 2021

MK Executive Care is a domiciliary type service providing care and support to people in their own homes. At the time of the inspection nine people were receiving care from the service.

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

Risks to people were not always assessed and people's care records lacked details about their care needs and how these needs should be met.

The provider's audits did not identify where improvements were needed so regulations were met. It was not clear how findings from audits were used to improve the service.

People received their medicines as prescribed although records did not always detail how this support should be given by staff or detail risks in relation to medicines.

People told us they were treated well by kind and caring staff. Staff told us they were well supported in their role and had received training to carry out their role effectively.

Staff knew how to recognise signs of abuse. People were involved in decisions about their care.

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

Rating at last inspection

This is the first rating of this service. The service was registered with us on 13 May 2020.

Why we inspected

This was a planned inspection as the service had not previously received a rating.

Enforcement

We have identified breaches in relation to safe care 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 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.