Archived: Aregon Care

Aregon Care is a domiciliary care service providing personal care to people living in their own home. At the time of our inspection there were 64 people using the service. At this inspection the service provided care for older people and people living with dementia.

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

The provider’s governance systems had not identified some of the shortfalls we found during this inspection process. This meant the systems in place to assess and monitor safety and quality at the service were not always effective.

Staff had limited knowledge of how to record an accident or incident meaning there was a risk that incidents would not be consistently reported to prevent recurrence.

Care plans were not always person centred and information provided within them did not fully reflect people’s needs, preferences, and health conditions. People’s care was not always reviewed to update information on people’s care needs.

We found that people and relatives were not always aware of having a care plan in place or being involved in any reviews around care provided to people. This meant that relatives and people felt any concerns around care were not always actioned. Some people and relatives told us they were happy with the care provided and received care matching the person’s needs.

The provider supported staff members to gain skills and development to ensure they were confident to support people with their care needs. We saw examples where the provider identified staff members having limited communication with people and language barriers to effectively communicate with people. However, there were areas where staff didn’t have the skills needed to support people safely and effectively.

At the time of the inspection, the location did not provide care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group. 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

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

Rating at last inspection

This service was registered with us on 12 April 2019 and this is the first inspection.

Why we inspected

This inspection was the first ratings inspection and took place after the provider changed the registered address.

The overall rating for the service is requires improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements.

Enforcement and Recommendations

We found that systems and process in place to oversee the service were not effective or robust to identify shortfalls in staff members compliance which included medicine administration competency, and care plans. This was a breach of regulation 17.

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.