Updated 2 May 2024
Date of assessment 17 May 2024 to 30 May 2024. This responsive assessment was prompted in part due to concerns we received about the quality and safety of the service people received and how the agency was managed. Enterprise Care Support Limited is a domiciliary care agency registered with the Care Quality Commission (CQC) to provide personal care and support to people living in their own homes. At the time of the inspection 73 people were using the service. The service continues to be rated good based on the overall findings of this assessment. However, we found a breach of the legal regulation in relation notifiable incidents. People had not been harmed, but were placed at risk of harm because the provider had failed to always notify the CQC without delay about significant incidents that had adversely affected the people they supported. We have also made 2 recommendations about the providers management of medicines, governance systems and recording keeping. We have asked the provider for an action plan in response to the concerns found at this assessment. The service continues to be safe. The registered manager and staff understood their duty to safeguard people from abuse and protect them from harm. Staff were recruited safely and regularly supported the same group of people to ensure they received continuity of care. Staff followed current best practice guidelines regarding the prevention and control of infection. Medicines were well-organised and people received their prescribed medicines as and when they should. The service continues to be well-led. The provider promoted an open and inclusive culture. There were established oversight and scrutiny systems in place. The managers were keen to continuously improve the agency and recognised the importance of learning lessons when things went wrong. People's concerns and complaints were well-managed. The provider worked in close partnership with external health and social care professionals.