Archived: Glee Care Ltd

Glee Care Ltd is a domiciliary care agency which provides care and support to people living in their own homes. They are able to support people with a range of complex needs including mental health, learning disabilities and older people. The service currently provides care for people living in the rural areas of Warwickshire.

At the time of the inspection Glee Care Ltd was providing domiciliary care for 12 people.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager was also the registered provider,

The service was registered with the Care Quality Commission in May 2014. This was the first inspection of the service.

At this inspection, feedback from people who used the service and relatives was positive. Both parties agreed that the quality of the care was good. People told us that they had consistent carers.

We found that people frequently did not receive their calls on time and that staff felt under pressure as they felt that call schedules were unrealistic.

We identified risks to people who used the service had not always been appropriately addressed or managed. Not all the people who received a service had a detailed care plan or risk assessment which covered their support needs and personal wishes.

Risk assessments that were in place did not address all areas of need and information in risk assessments was not always accurate.

Staff told us that they received a basic induction into the service and had received mandatory training. However, training records failed to evidence induction for staff and we found that training records were incomplete and had not been kept up to date. Staff understood the requirements of the Mental Capacity Act 2005. Staff that worked in the service were kind and caring.

People's care plans were not always personalised and plans did not always reflect people's wishes and preferences. Staff had knowledge of people's life history and things that were of interest to them despite the lack of information in the care records. Further action was needed to ensure people were at the centre of their care and care plans were developed and reviewed with people's involvement.

Staff were positive about their work but we received mixed feedback on the support staff received from the registered manager and provider.

The provider did not have an effective quality governance and assurance system in place. There was no evidence to demonstrate that the provider reviewed, identified shortfalls and took steps to make any improvements.

We identified breaches to Regulations 17 and 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014; (Good Governance and Fit and proper persons employed). You can see what action we told the provider to take at the back of the full version of this report.