Eunha Healthcare Ltd

Updated 23 May 2024

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by 2 inspectors and 2 Experts by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

Registered manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 2 days notice of the inspection. This was because we needed to be sure that the registered manager would be in the office to support the inspection. We also gave time for the registered manager to send us inspection information, so we did not have to spend an extended amount of time in the office of the service.

Inspection activity started on 19 December 2023 and ended on 12 January 2024. We visited the office location on 20 December 2023 and 12 January 2024.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed information we had received about the service and we sought feedback from the local authority.

During the inspection

We spoke with 7 people who used the service about their experience of the care provided and 6 relatives about these issues. We spoke with 3 care staff, the registered manager and the care coordinator. We reviewed a range of records. This included 8 people’s care records. We looked at 10 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

After the inspection

We continued to seek clarification from the registered manager to validate evidence found, which was sent to us.

Updated 23 May 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’ 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 it.

About the service

Eunha Healthcare Ltd is a domiciliary care agency supporting people with their personal care needs in Leicestershire. At the time of inspection, 93 people were using the service. 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

Right Support: People were not kept safe from the potential risk of harm. Details of how to reduce risks to people's safety were missing from people's care plans. Enough staff were not employed to meet people's needs.

Timely calls were often not in place to provide people with the personal care they needed. Safe recruitment practices were in not place to ensure only suitable staff worked at the service.

People were not supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; in contradiction to the policies in the service. People where required were not supported with their medicines. Accidents and incidents were not always reviewed to prevent this occurrence.

People and relatives said safe care was provided, with people protected against abuse, neglect and discrimination.

Right Care: Care plans reflected people’s individual needs, though people and their relatives were positive about the care and support provided and were involved in discussions and decisions about care and support. People and relatives were satisfied with the personal care staff provided. They said staff treated people with respect and dignity and staff had a caring and friendly approach to them. They said they had very good relationships with staff.

Right Culture: The registered manager did not understood their responsibilities or worked in an open and transparent way. Systems and practices for oversight and governance of the service were insufficient to monitor the quality and safety of the service provided. The system of auditing had not identified improvements were needed to evidence all issues raised by people and staff had been followed up.

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

Rating at last inspection

The last rating for the service under the current provider was requires improvement (published 23 November 2022).

Why we inspected

The inspection was prompted in part due to concerns received about medicines management, staffing levels and oversight at the service. A decision was made for us to inspect and examine those risks.

Enforcement

We have identified breaches in relation to safety, staffing, staff training, staff recruitment, governance and provider transparency.

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 continue to monitor information we receive about the service, which will help inform when we next inspect.