Kapital Care (UK) Limited

Updated 14 September 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Kapital Care (UK) Limited is a domiciliary care agency that provides personal care to people living in their own houses.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the CQC to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service two working days' notice of the inspection because the service provides care to people in their own homes and we wanted to make sure that management were available on the day of the inspection site visit.

Inspection activity started on 2 August 2023 and ended on 15 August 2023. We visited the office location on 9 August 2023 to see the registered manager, office staff and review records related to the service.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements

they plan to make. We used all this information to plan our inspection.

During the inspection

We reviewed a range of records related to 8 people’s care and support. This included people’s care plans, risk assessments, medicines records and 6 staff files in relation to recruitment and training. We reviewed records related to the management of the service, which included quality assurance records and policies and procedures. We also reviewed a sample of electronic call monitoring (ECM) data. An ECM system is where care staff log in and out of their calls, and the information is recorded.

We spoke with 7 staff members. This included the registered manager, operations manager and care workers.

We spoke with 3 people who used the service and 5 family members. We obtained feedback from 1 care professional.

Updated 14 September 2023

About the service

Kapital Care (UK) Limited is a domiciliary care agency providing personal care to people living in their own homes. The services they provide include personal care, housework and medicines support. At the time of our inspection the service was providing personal care and support to a total of 30 people. 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.

People’s experience of using this service:

Effective medicines management systems were not in place.

There was not an effective quality assurance system in place to monitor various aspects of the care provided and identify deficiencies in relation to people’s care and the running of the service.

Risk assessments were in place. However, we noted that in some instances the information recorded in these was limited and did not always include instructions for staff about how to mitigate associated risks. We have made a recommendation in relation to this.

Recruitment practices were not always robust enough to help ensure staff were suitable to support the people who used the service. We have made a recommendation in respect of this.

Feedback we obtained indicated that people and relatives felt safe in the presence of care staff.

Measures to prevent and control the spread of COVID-19 and other infections were in place.

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.

Staff we spoke with told us they enjoyed working at the service and were well supported by management and their colleagues.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for the service was good (3 October 2018).

Why we inspected

This was a planned comprehensive inspection to review the key questions, Safe, Effective, Caring, Responsive and Well-led and rate this service.

The inspection was prompted due to the length of time that has passed since the last inspection.

Enforcement and recommendations

We have identified two breaches of regulation in relation to medicines management and governance at this inspection. 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. 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.