12 January 2023
During a routine inspection
Graceful Hands is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to older adults. At the time of this inspection there was one person using the service.
People’s experience of using this service and what we found
The provider failed to ensure appropriate risk assessments to people were completed and risk management plans were not always in place to manage these risks. The risks included, falls and people who had suffered a stroke. Appropriate recruitment checks were not carried out before staff joined the service. Accidents, incidents and complaints were recorded, but not investigated and learning was not disseminated to staff. People and their relatives' views about the service were sought but there were no records to show any action taken by the provider to drive improvements. Regular audits to identify shortfalls were not carried out.
Assessments were carried out prior to people joining the service to ensure their needs could be met. Procedures were in place to reduce the risk of infections and staff had enough personal protective equipment. Staff were happy working at the service and felt supported by the registered manager.
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 was the first inspection of the service.
Why we inspected - This was a planned comprehensive inspection.
Enforcement and Recommendations
We have identified breaches in relation to safe care and treatment, staff recruitment and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
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.