26 November 2019
During a routine inspection
Head Office is registered to provide personal care to people living in their own homes. At the time of the inspection one person was receiving a service.
Where people receive a service in their own home 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
Due to the nature of the service provided we were not able to speak with anyone who had experienced the quality of the service. In addition, we were unable to speak with any family members about their experience.
We found improvements were needed in relation of the documents we viewed to ensure people received a safe service. It was not always possible to establish when people had needed medicine administered to them. Protocols when other providers were involved in administration of medicines were not in place to ensure they were administered safely and when a variable dose was prescribed.
Care plans viewed were incomplete and did not provide information to ensure consistent support. Risk assessments regarding personal care and people’s home environments were not always either in place or completed to ensure staff had information available considering people’s safety.
Management systems had not identified the shortfalls in the records completed by staff identified during this inspection.
The provider had procedures in place to report any actual or allegations of abuse. The provider planned to recruit additional staff and was aware of safe recruitment processes.
Staff had received training to ensure they had the knowledge and skills to provide care and support. The registered manager and staff we spoke with demonstrated a desire to provide a caring and supportive service to people.
Healthcare professionals were involved in people’s care both prior to a service commencing and ongoing as needed.
From what we could establish people supported to have maximum choice and control of their lives in the least restrictive way possible and in their best interests.
The registered manager was aware of the need to inform the Care Quality Commission of certain events although it was found one notification had not been sent as they initially believed. They were also aware of the need to be open and honest if things went wrong.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 27/11/2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on when the service first became registered.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.