23 August 2022
During a routine inspection
Vision Care Wakefield is a domiciliary care agency providing personal care to people living in their own homes. At the time of our inspection there were seven people receiving 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 provider had a system in place to monitor the quality of the service. However, this had not always been effective and needed reviewing to ensure it was an effective process.
Risks associated with people’s care and support had not always been identified. However, staff we spoke with knew people well and knew how to support people in line with their needs and preferences.
Staff confirmed they had received training to carry out their role. However, this was not always effective. For example, we were aware of a complaint regarding moving and handling and we noted gaps in the completion of medication records. We have made a recommendation that the provider ensures training is kept up to date.
People were protected from the risk of abuse. Staff were knowledgeable about how to recognise and report concerns. Relatives told us their family members received their medicines as prescribed. However, we saw medication administration records which had several gaps in recording. The management team had identified this prior to our inspection and were addressing this concern.
The provider ensured staff had access to personal protective equipment and could evidence they were working within the government guidelines for COVID-19.
The management team had a system in place to ensure accidents and incidents were recorded and reported. However, there had been no incidents since the service commenced and therefore no analysis could be reviewed at this inspection.
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.
Relatives were complimentary about the service their family member received, commenting that the management team were approachable, and the carers were kind and friendly.
Care plans were person centred and included people's preferences and choices. Staff knew how staff communicate effectively with people, such as speaking slowly and clearly and using short sentences.
The provider had a complains procedure and relatives felt able to raise concerns and felt listened to
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 17 June 2021 and this is the first inspection.
Why we inspected
This was the first inspection of a 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 have identified breaches in relation to good governance.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.