Updated 13 January 2025
Date of Assessment: 13 January to 3 February 2025. The service is a care at home service providing support to adults of all ages. 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 our assessment, 30 people were being supported with personal care.
We carried out a site visit to the office on 13 January 2025, with the remainder of the assessment being conduct offsite. The assessment was prompted in part due to concerns received about staff training and safeguarding. A decision was made for us to carry out an assessment and examine those risks. We assessed a total of 22 quality statements from the safe, effective, and well-led key questions.
We found 3 breaches in regulation in relation to safeguarding, staffing and governance. The provider did not always ensure people’s care needs were met in a safe way. Governance systems were not always effective enough to monitor and improve the quality of the service. The overall rating is requires improvement.
At the time of the assessment, a registered manager was not in place, although the current manager had submitted their application to CQC to become registered. There was no effective oversight in place to monitor risk, such as missed, late and cancelled calls.
Although we were assured staff were aware of risks to people and how to mitigate them, the level of risk to people had not always been assessed accurately. Some risk assessments did not contain adequate guidance for staff on how to manage them. People were not adequately protected from the risk of harm and abuse; we saw repeated issues such as cancelled and missed calls.
In instances where CQC have decided to take enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have concluded.