Enigma Clinical Solutions Ltd

Enigma Clinical Solutions Ltd is a domiciliary care service providing personal care to adults with a range of support needs including people living with dementia. At the time of the inspection the service was providing personal care to 12 people living in their own homes in the local community.

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

People and their relatives told us the service was not always well managed. We found shortfalls with the management of people’s risks, medicines, person centred care and quality assurances systems which placed people at increased risk of harm.

The service had systems in place to monitor the quality and safety of the service, however they did not identify the issues we found during the inspection.

Some risks to people had not been sufficiently assessed and documented in their care records. Where people received support with medicines, this was not managed safely in line with national guidance.

People and relatives told us care visits were often late and people were not kept updated when delays occurred. We found people’s care plans were lacking in personalised information. People and their relatives told us staff were not always sufficiently skilled and knowledgeable.

People and their relatives told us staff were mostly kind and caring, however staff interactions with people were limited. We received mixed feedback as to whether staff maintained people’s dignity and independence.

Staff spoke positively of their work and told us there was good communication with managers. People were supported by staff who had completed training and felt well supported by the management team.

People were supported by staff who had been assessed as safe to work with vulnerable adults and who understood their responsibility to report any concerns.

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

This service was registered with us on 20 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.

We have found evidence that the provider needs to make improvements.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement and Recommendations

We have identified breaches in relation to safe care and treatment, person centred care and good governance at this inspection. Please see the action we have told the provider to take at the end of this report.

We have made recommendations about monitoring care visits and the management of complaints.

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.