During an assessment under our new approach
Smartway is a care at home service which provides personal care to people living in their own homes. At the time of our inspection there were 61 people receiving a regulated activity at the service. Not everyone who used the service received personal care. The Care Quality Commission (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.
We received concerns about the service and, as a result of this information a decision to assess the service was made. We looked at 11 quality statements; Safeguarding; Involving people to manage risks; Safe and effective staffing; Learning Culture; Medicines optimisation; Independence, choice and control; Equity in experiences and outcomes; Shared direction and culture; Capable, compassionate and inclusive leaders; Learning, improvement and innovation and Governance, management and sustainability.
At this assessment we found improvements were needed and 3 breaches of regulation in relation to the staff recruitment, staffing levels and the systems of oversight to ensure the quality of the service.