25 May 2023
During a routine inspection
Lean On Me Care Services Limited is a domiciliary care service providing the regulated activity of personal care. At the time of our inspection there were 13 people using the service, 5 people 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
People’s care needs and support requirements had been assessed, recorded and managed well. However, records relating to the management of people’s medicines were not always clear. The provider had identified that parts of their governance and quality monitoring systems needed to improve to identify gaps in people’s care records and the management of the service.
Although we found shortfalls in parts of the providers quality monitoring systems, the registered manager had good oversight of the service. People and their relatives felt confident in the management of the service and that any concerns would be acted on.
Safe recruitment practices and staff development systems were in place to ensure people were supported by suitably vetted and trained staff. There were enough staff to meet people's needs and who knew them well.
People received care from staff who were kind and caring. Staff treated people with dignity and encouraged people to reach their potential. The registered manager and staff had formed working relationships with health care professionals and families.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
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 15 March 2022, this is the first inspection.
Why we inspected
This service had not been inspected since their registration; therefore, this inspection was also carried out to gain assurances about the quality of care and systems used to monitor and manage the service.
Enforcement and Recommendations
We have identified breaches in relation to the management of people's medicines.
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 around the management of people’s medicines. 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.