About the service Medical Express Ultimate Care Services Limited is a domiciliary care agency (DCA). It provides personal care to people living in their own homes. At the time of the inspection there was one person using the service. The registered manager also ran a care home and the DCA was based at this service. There was one member of staff who worked for the DCA and at the care home.
People’s experience of using this service and what we found
We contacted the person who used the service and they provided us with limited information, but they were happy with the care agency.
The provider was not following their medicines policy. We made a recommendation to the provider about this. The provider did not have robust systems in place for assessing risk. We made a recommendation to the provider to update their practice.
The registered manager did not have effective systems in place to monitor the quality of the service. Staff understood the provider's safeguarding policies and they had effective procedures in place to keep people safe.
Staff had access to appropriate personal protective equipment (PPE) to help prevent the spread of infection. Staff had access to training which was appropriate to their role.
The provider had systems for handling complaints and responding to incidents and accidents which they said they would follow when complaints were made or incidents occur.
The person was supported to have maximum choice and control of their life and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was registered with us on 26 October 2016. However, the service had long periods of time where they were not delivering personal care to anyone. This is the service’s first inspection.
Why we inspected
We carried out this inspection following a routine review of information we held about this service. Our intelligence indicated there may be a higher level of risk at this service due to the length of time it had been registered and not been inspected.
Follow up
We will continue to monitor intelligence we receive about the service until we return. If any concerning information is received, we may return to inspect.