London Care - Brighton

During an assessment under our new approach

Date of assessment 2 October to 18 November 2024. The service is a care at home service providing support to adults of all ages living with dementia, a physical disability or sensory impairment. We found 5 breaches of regulations relating to safe care and treatment; safeguarding; dignity and respect; good governance and staffing. People were not always safeguarded against risk of avoidable harm. Staff and leaders had not always recognised incidents or safeguarding concerns. Medicines had not always been managed safely. The provider did not demonstrate lessons learnt or reduced risks to people. Where risks were identified to people's health and wellbeing, assessments had not consistently been completed to detail support needs or when to seek further professional advice. The culture of the service was not always open and positive. People were not always treated with kindness and respect. People raised concerns about some staff’s behaviour and lacking basic skills. Leaders did not always handle complaints in line with the provider’s policy. They had not adequately supported or monitored staff in their roles when things went wrong. The provider was working with the local authority to address concerns raised by professionals and people. They had an action plan in place. The provider told us they had not completed audits at a provider level as it was their policy to do this after 8 months. They were not aware of the shortfalls found during assessment. This meant the action plan and existing governance systems were not robust in identifying or effective in addressing areas for improvement. The provider has been receptive to feedback and provided us with an action plan to make improvements. However, this will take time to embed.

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