Background to this inspection
Updated
1 September 2023
The inspection
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 Health and Social Care Act 2008.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Our Rock Ltd is a domiciliary care agency. It is registered to provide personal care to people living in their own houses and flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was not a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or manager would be in the office to support the inspection.
Inspection activity started on 27 October 2022 and ended on 21 December 2022. We visited the location’s office on 27 October 2022.
What we did before the inspection
We reviewed information we had received about the service since registering with us. We contacted health and social care professionals and other agencies including Ofsted to gather their views about the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We used all this information to plan our inspection.
During the inspection
We visited the office location on 27 October 2022. We spoke with a relative and a health and social care professional to gather their views about the service. We spoke with the manager and another service manager working for the same organisation. We did not speak to any care workers as we were not provided with their contact details. We reviewed care and risk management plans and staff records. We looked at other records related to the running of the service including policies and procedures.
We requested the provider to send us a list of documents to inform our judgement, but they were unable to provide us with the full information we requested.
Updated
1 September 2023
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
About the service
Our Rock Ltd is registered as a domiciliary care agency. The service was registered for the regulated activity of personal care. At the time of inspection, we found the provider was delivering personal care to one person under age 18 years. We had concerns as to the accommodation arrangements for this person and where a provider provides care to under 18 age group in a care home, they should apply to be registered with Ofsted. Providers cannot be dual registered for care home services with CQC and Ofsted.
People’s experience of using this service and what we found
Right support: The provider did not always work in line with the MCA. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. There was insufficient evidence about how medicines were being managed safely, how people were protected from the risk of abuse, how risks of infections were safely managed and how accident and incidents were reported, recorded and managed effectively.
Right Care: There was insufficient evidence about how people’s privacy and dignity was promoted and how people were being supported with activities of interest.
Right Culture: The service did not have an effective quality assurance and governance processes in place. The provider was not clear about the roles and responsibilities of the service. The service did not have were processes in place to gather feedback from people and their relatives. There was insufficient evidence to show managers supported staff to perform their roles effectively.
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 28 November 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.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Our Rock Ltd on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified breaches in relation to need for consent 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.