Medinova Healthcare Ltd,

Updated 15 April 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 conducted by one inspector.

Service and service type

This service is a domiciliary care agency. It provides 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 a registered manager in post who was also a director of the company.

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 registered manager would be in the office to support the inspection. Inspection activity started on 7 March 2023 and ended on 13 March 2023. We visited the location’s office on 9 March 2023.

What we did before the inspection

We reviewed information we had received about the service during the registration process. 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 met the registered manager who was also a director of the company. We looked at a range of records which included the care records for 2 people, 4 care workers’ employment files and a range of records including those used for monitoring the quality of the service, such as audits and policies. Following the inspection, a telephone interview was carried out with 2 relatives and we received feedback from 2 care workers.

Updated 15 April 2023

About the service

Medinova Healthcare Limited is a domiciliary care agency which provides care and support for people in their home. At the time of the inspection the service was providing support with personal care for 3 people, of which 2 were receiving the regulated activity of personal care. 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

The provider had not always developed risk management plans to provide care workers with guidance on mitigating identified risks. Medicines were not always managed appropriately to follow best practice.

Care workers had not completed the training identified as mandatory by the provider to ensure their skills were up to date. People were not always 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; the policies and systems in the service did not always support this practice.

Care plans were not written in a person-centred manner which identified the person’s wishes in relation to how they wanted their care provided. The provider had a quality assurance system, but it was not robust enough to identify where there were issues and improvements were required so these could be addressed.

The provider had a safe recruitment process in place. Relatives felt their family member was safe when they received care in their own home. Care plans identified if people required support to prepare meals. Relatives confirmed they had been involved in the development of their family member’s care plan.

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 2 March 2022 and this is the first inspection.

Why we inspected

The inspection was conducted based on the date of registration.

Enforcement and Recommendations

We have identified breaches in relation to person centred care, need for consent, safe care and treatment, good governance and staffing. 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 to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.