Wellbeing Care Solutions Ltd

Wellbeing Care Solutions Ltd is a domiciliary care agency providing personal care to people in their own homes. The service was supporting 6 people with personal care at the time of our inspection.

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 and what we found

Staff supported people to mitigate risks to their safety. Staff adhered to infection control procedures and protected people from the risk of infection. Staff were knowledgeable in safeguarding adults' procedures.

There were sufficient staff to meet people's needs and safe recruitment practices were in place. Staff received training to ensure they had the knowledge and skills to undertake their duties. This included training on medicines management, food hygiene and the Mental Capacity Act 2005 (MCA).

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 and their relatives Staff supported people at the end of their lives in line with their wishes.

People and relatives found staff to be caring, respectful and said they were involved in their care with staff following their wishes about how they wanted to be supported.

There were processes in place to review the quality of care delivery and make improvements where

necessary. However, we found further improvements in the providers systems were required to ensure staff received specialist training in a timely way and to ensure records were in place to show reviews of care involving people and that call durations were monitored.

People, relatives and staff all felt the service was well managed and there was evidence the provider worked well with other agencies in their support of peoples care and wellbeing.

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

Rating at last inspection

The last rating for the service was requires improvement, (published on 25 March 2020).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Wellbeing Care Solutions Ltd is a community-based care provider that provides personal care and support to people in their own homes. At the time of our inspection there were 8 people receiving personal care.

People’s experience of using this service and what we found

The provider’s audits in place to monitor the quality of the service were not effective and had not identified where risk assessments were lacking in detail and where recruitment processes needed to be more robust. The provider’s oversight had not identified where staff had not been trained in the Mental Capacity Act (MCA) or where they had relied on training from previous employers to ensure staff were working in line with company policy. Feedback forms were used to gain people’s views of the service and people’s response was positive.

Risk assessments lacked detail on how to guide staff to support people’s specific needs, however, people received support from regular staff who knew them well. Staff knew how to keep people safe from harm. Medicines were managed safely and staff followed infection control guidance and had access to personal protective equipment.

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; however, the policies and systems in the service did not always support this practice as the provider had failed to provide training in the MCA for their staff.

People were supported by staff who were kind and caring. People's privacy, dignity and independence were respected by staff.

People's support needs were assessed regularly and planned to ensure they received the support they needed. The provider had a complaints process which people were aware of to share any concerns.

Rating at last inspection

This service was registered with us on 05March 2018 and this is the first inspection.

Why we inspected

This was a planned inspection.

Enforcement

We have identified a breach in relation to regulation 17 (good 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.