Archived: Global Caring Group Ltd

Global Caring Group Ltd is a domiciliary care service providing personal care to adults and children in their own homes. At the time of the inspection 13 people received personal care.

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

The providers governance systems to monitor the quality and safety of the service were inadequate. The provider had not ensured they were compliant with the conditions of their registration in line with requirements. The lack of robust governance systems meant the provider had failed to identify and address issues that we found. Opportunities to learn lessons could have been missed.

Enough staff were employed to provide the care people needed but the provider was unable to demonstrate staff had been recruited safely. Relatives felt their loved ones were safe with staff and staff had received training to protect both adults and children from the risk of harm. However, the management team had not always shared information ensure people were kept as safe as possible.

Risk management needed to be improved. Known risks were not always assessed, and risk assessments did not contain the information staff needed to provide safe care. Staff administered one person’s medicines safely. National guidance in relation to infection control was not always followed. However, relatives told us staff wore personal protective equipment (PPE) and followed safe infection prevention practice in their homes.

Assessments of people’s needs were completed before they started using 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; the policies and systems in the service supported this practice.

People’s care did not always achieve good outcomes. Some relatives felt staff did not have the skills and experience they needed to provide effective care and staff provided mixed feedback about the training they received to help them do their jobs well. Training records were maintained, and observational checks of staff practice did take place.

People arranged their own health appointments or were supported to do so by their family members. The service could offer this support if it was required. Staff understood their responsibility to seek advice if they noticed any signs of illness.

People were offered daily choices. Peoples dignity was maintained, staff described how they promoted people’s independence and respected their right to privacy.

People and relatives had opportunities to provide feedback on the service. However, feedback was not always used to drive forward improvement. Overall, staff felt supported by their managers. They told us communication was good and they received enough guidance to help guide them with their work.

The management team acknowledged and welcomed our inspection feedback and demonstrated commitment to making improvements to benefit people.

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 29/06/2018 and this is the first inspection.

Why we inspected

This was a planned inspection of this newly registered service.

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, staff recruitment and good

governance.

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

The overall rating for this service is 'Inadequate' and the service is therefore in 'special measures'. This means we will keep the service under review and, if we do not propose to cancel the provider's registration, we will re-inspect within six months to check for significant improvements.

If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service.

This will usually lead to cancellation of their registration or to varying the conditions the registration. For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it, and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.