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Everready Health and Social Care Solutions

Overall: Requires improvement read more about inspection ratings

Unit 1 4 Badhan Court, Castle Street, Hadley, Telford, TF1 5QX

Provided and run by:
Everready Health And Social Care Solutions Ltd

All Inspections

26 June 2023

During a routine inspection

About the service

Everready Health and Social Care Solutions provides personal care within people’s own houses and flats. At the time of our inspection 15 people, were using 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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

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.

Right Support: 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 support this practice.

Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life.

Right Care: People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs.

Right Culture: Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.

The provider’s governance was ineffective to identify the shortfalls found during this inspection.

People could not be assured staff would have the appropriate skills to support them with their prescribed medicines. This is because there was lack of evidence medicines competency assessments were carried out by a competent person.

Where a needs assessment was not carried out prior to people receiving a service, this could compromise the care and support they received. There was no emphasis focused on equality and diversity during the assessment and care planning and this meant people needs may not be met the way they wanted. Relevant official documents were not accessible, and this could compromise people’s expressed wishes. We found where a person was receiving end of life care, staff did not have access to an end-of-life care plan, to ensure the person’s wishes would be met. We have recommended that this should be put in place.

People could not be confident their communication needs would be met due to the lack of understanding of the Accessible Information Standards.

People were cared for by sufficient numbers of staff who had been recruited safely.

Risk assessments were in place to promote people’s independence whilst ensuring their safety. Staff were skilled and knowledgeable in reducing the risk of people contracting avoidable infections.

People were protected from potential abuse because staff knew how to recognise abuse and how to safeguard them.

People could be confident they would be supported to eat and drink sufficient amounts and where needed received assistance to access a speech and language therapist or dietician for additional support. People were supported to access relevant healthcare services to ensure their needs were met.

People were supported by staff who had received training and who were supported in their role by the registered manager.

Routine welfare calls were made to people to obtain their views in relation to the service they receive. Staff felt supported by the registered manager who worked with other agencies to ensure people’s needs were met.

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 28 September 2020, and this is the first inspection.

Why we inspected

This is a newly registered service. Hence, we looked at all 5 key questions, Safe, Effective, Caring, Responsive and Well-Led.

The overall rating for the service is requires improvement based on the findings of this inspection. We have found evidence that the provider needs to make improvements. Please see Safe, Effective, Responsive and Well-Led sections of this report.

Enforcement

We have identified a breach in relation to the provider's governance. There were no monitoring systems to ensure calls were not missed. Medicines competency assessments were not carried out by a skilled competent person. Systems and practices did not ensure official documents were in place to ensure people’s expressed wishes would be adhered to. Care records made no reference to equality and diversity. Needs assessments were not always carried out prior to people receiving a service.

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.