26 May 2022
During a routine inspection
Absolute Care Solutions Limited is a domiciliary care agency. The service provides personal care to people in their own homes. At the time of our inspection there were two people using the service.
People’s experience of using this service and what we found
People’s risks had not been consistently assessed and plans put in place to mitigate these. Medicines were not consistently administered in line with the providers policy.
Checks carried out as part of recruitment of staff had not been done effectively. The providers oversight of the service was limited. The audits in place did not identify areas for improvement.
People were safeguarded from abuse by staff that understood how to recognise potential abuse and report it. People were supported by enough staff. People received care from staff who understood how to manage the risks from infection. Staff received training and had the skills to carry out their role.
People had care plans in place which gave guidance to staff on how to support them.
People had the support they needed to eat and drink safely. People received support which was consistent and were supported to maintain and improve their health and wellbeing.
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.
People were supported by kind and caring staff that understood their needs and preferences. People had the support they needed to make decisions for themselves and their rights, privacy and dignity was protected.
People and their relatives were involved in planning care which met people’s individual needs and preferences. Staff understood how to support people with their individual cultural needs. People had their communication needs assessed and staff were able to meet their needs.
People and relatives confirmed they understood the complaints procedure and felt this would be responded to and acted upon.
The provider understood their responsibilities for duty of candour. Relatives confirmed the provider had a compassionate staff team in place to support people and that people had improved outcomes following using the service.
Staff felt supported and had opportunities to engage with the registered manager and make suggestions about the service.
The registered manager told us she was working in partnership to grow the service to meet local need.
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Last rating and update
This service was registered with us on 25 October 2017 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have found breaches in relation to governance of the service and safe recruitment of staff at this inspection.
Please see the action we have told the provider to take at the end of the full version of this report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.