York - Hartley Care

York- Hartley Care is a domiciliary care agency providing personal care to people in their own homes. The service provides support to younger adults, older people and people who may be living with dementia. At the time of our inspection there were 51 people 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

Governance systems were not sufficiently robust. Records were not always accurate, up to date or accessible. Information given during the inspection was not always accurate. Audits had not ensured the areas we identified at this inspection had been addressed.

Medicines were not managed safely. Medication records were not always completed in line with best practice and we could not be assured people had received their medicines as prescribed.

Improvements were required to support staff. This included, induction, training, competency assessments and supervision.

We could not be assured complaints were managed appropriately as records were not accessible. We have made a recommendation about this.

Risk assessments were not always in place, accurate or up to date. We have made a recommendation about this.

People were supported with their nutrition and health care where appropriate. Improvement was needed to ensure care plans were up to date in relation to areas that could affect people’s health such as weight loss.

People were supported by kind and caring staff who respected their privacy and dignity. People felt comfortable with the staff who supported them, and staff promoted their independence were appropriate.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

This service was registered with us on 06 September 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Enforcement and Recommendations

We have identified breaches in relation to medicines, staffing and governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

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.