The Care Quality Commission
  • Services in your home
  • Homecare service

Archived: Care Central Limited (Walthamstow)

Overall: Good read more about inspection ratings

736 Lea Bridge Road, London, E10 6AW (020) 8223 0100

Provided and run by:
Care Central Ltd

Important: This service is now registered at a different address - see new profile
Important: This service was previously registered at a different address - see old profile

All Inspections

28 June 2016

During a routine inspection

At the last inspection of this service in September 2015 we found three breaches of legal requirements. This was because staff did not always attend to appointments to provide care to people, staff that worked with people living with dementia had not undertaken any training about dementia care and the provider did not have robust quality assurance and monitoring systems in place. During this inspection we found improvements had been made and the provider was now meeting legal requirements.

The service was registered to provide support with personal care to people living in their own homes. At the time of our inspection 136 people were using the service. The service had 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 service had appropriate safeguarding procedures in place and staff were knowledgeable about their responsibilities with regard to safeguarding adults. Risk assessments were in place which included information about how to mitigate any risks people faced. There were enough staff working at the service to enable the service to meet people’s assessed needs and not miss appointments. Pre-employment checks were carried out on prospective staff. Medicines were administered in a safe manner.

Staff undertook an induction training programme on commencing work at the service and received on-going training after that. People were able to make choices for themselves where they had the capacity to do so and the service operated within the Mental Capacity Act 2005. Where people were supported with food preparation they were able to choose what they ate and drank. The service worked with other agencies to promote people’s health and wellbeing.

People told us they were treated with respect and that staff were caring. Staff had a good understanding of how to promote people’s privacy, independence and dignity.

Care plans were in place for people which set out their needs and the support they required in a personalised manner about the individual person. The service had a complaints procedure in place and people told us they knew how to make a complaint if needed.

People and staff spoke positively of the management at the service and of the working atmosphere. Various quality assurance and monitoring systems were in place, some of which included seeking the views of people that used the service.

22 and 24 September 2015

During a routine inspection

The inspection took place over two days on the 22 and 24 September 2015 and was announced. This was the first inspection of this service since it was registered at its current location in January 2015.

The service provided support with personal care to adults with a variety of needs living in their own homes. This included people living with dementia, physical disabilities and learning disabilities. At the time of our inspection there were approximately 120 people using the service. The service had 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.

At times staff did not arrive for appointments to support people. At other times only one member of staff arrived to provide support when the person was assessed as needing the support of two staff. Staff that supported people living with dementia had not undertaken any specialist training about this topic. Although the service had various quality assurance and monitoring systems in place these were not always effective.

Risk assessments were in place which set out how to support people in a safe manner. The service had safeguarding and whistleblowing procedures in place and staff were aware of their responsibilities in these areas. Checks were carried out on staff to check their suitability for employment. Records were maintained of medicine records and these were checked and audited by senior staff.

Staff undertook an induction training programme on commencing work at the service and had regular supervision. People were supported to make choices and were able to consent to their care. People were able to choose what they ate and drank. The service supported people to access other care agencies to promote their health and wellbeing.

People told us the staff treated them in a caring and respectful manner. Staff had a good understanding of how to promote people’s dignity.

Care plans were in place which set out people’s assessed needs and how to meet those needs. Staff had a good understanding of the needs of individuals. The service had a complaints procedure in place and people were aware of how to make a complaint.

The service had a clear management structure in place and staff told us that the senior staff were supportive and helpful.

We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what actions we have asked the provider to take at the end of this report.