Updated 31 December 2024
Date of Assessment: 08 January to 27 January 2025. This assessment was prompted by a review of information we held about the service. The service provides support to 120 adults living in their own homes with tasks related to personal hygiene. We assessed 8 quality statements from the safe, effective, responsive and well led key questions. We have combined the scores for these areas with scores from the last inspection to give the rating for this assessment. We found 1 breach of the legal regulations in relation to good governance. Governance systems were not always effective to monitor and improve the quality of care. Records relating to people’s care did not always contain up to date information. Records relating to staff recruitment and training were not sufficiently comprehensive to support the provider’s quality monitoring. Staff knew how to identify, and report concerns to safeguard people from abuse. However, safeguarding incidents had not always been notified to CQC. The provider worked with people and partners to understand and manage risks. People’s care visits were monitored to ensure they received their care. There were enough staff to meet people’s needs promptly. Staff told us they received sufficient support to undertake their roles. Safe systems were in place to ensure medicines were administered appropriately. People were supported to have choice and control including planning their care. People received care that was personal to them. Staff cared for people with dignity and respect and promoted their independence. Managers and staff were passionate about delivering quality care and worked to promote a positive culture and good outcomes for people. Staff felt listened to and able to raise concerns. The manager was currently going through the registered manager process with CQC. The provider was responsive and took prompt action to address shortfalls. We asked the provider for an action plan in response to the concerns found at this assessment.