- Homecare service
KEPA Care Solutions Limited
Report from 10 July 2024 assessment
Contents
Ratings
Our view of the service
KEPA Care Solutions Limited is a domiciliary care agency providing personal care to people in their homes. The service supports young adults with a learning disability and autistic people. We completed the assessment on 10 July 2024. 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’ (RSRCRC) 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 this. We found the provider and registered manager were not following this guidance and people were not receiving the care and support they needed. We found significant shortfalls across the service and identified 8 breaches of regulation including, providing people with person centred care, dignity and respect, need for consent, safe care and treatment, staffing, safeguarding, good governance and notification of other incidents. We took urgent action to prevent the provider from taking further care packages without the written agreement of CQC. We placed conditions on the provider’s registration for them to send us action plans advising us how they planned to improve the service.
People's experience of this service
People had not been supported in line with RSRCRC guidance to enable and encourage them to be as independent as possible. People had not been empowered to make decisions about their care and support, including who they lived with, restrictions and physical interventions. Principles of the Mental Capacity Act 2005 had not been implemented and people had restrictions placed on them, without following the relevant processes. Staff did not have robust guidance to inform them how best to support people with a learning disability or autistic people, or to inform them how best to support people during periods of high distress. Positive behaviour support (PBS) guidance was not in place, and guidance lacked person centred detail on how to support people if they became distressed. Language used by staff was not always appropriate, empowering or respectful.