Ashvic 24/7 Quality Care Services Limited

Updated 24 August 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

This inspection was completed by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses. At the time of the inspection, the provider was supporting 20 people with personal care.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post who was also the provider.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the registered manager would be in the office to support the inspection.

Inspection activity started on 5 May 2022 and ended on 1 June 2022. We visited the location’s office on 5 May 2022.

What we did before the inspection

We reviewed information we had received about the service and we sought feedback from the local authority. The provider sent us a provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We took this into account when we inspected the service and made the judgements in this report. We used all this information to plan our inspection.

During the inspection

We received feedback from six people, and six relatives about their experience of the care provided. We received feedback from four members of staff including the registered manager who is also the provider and care staff.

We reviewed a range of records. This included eight people’s care records and two people’s medication records. We looked at six staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

We reviewed information the local authority gathered at the same time as our inspection as part of an on-going concern. We continued to seek clarification from the provider to validate evidence found. We looked at care related documents.

Updated 24 August 2022

About the service

Ashvic 24/7 Quality Care Services Limited is a domiciliary care agency. They provide personal care to people living in their own homes. Not everyone who used the service received personal care. 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. At the time of the inspection 20 people were receiving personal care.

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

The provider failed to ensure safe recruitment and induction practices were consistently in place. Risks related to infection prevention and control had not been identified. Medicines records did not always accurately reflect if medicine had been administered. Systems and process in place to monitor the safety and effectiveness of the service required improving.

Care plans were in the process of being transferred to an electronic care planning system. Not all care plans had been transferred and required updating. However, people were supported by staff that understood their individual needs. Staff took part in regular testing for COVID -19. There were sufficient staff to meet the needs of the people at the service.

People were supported to live healthier lives and staff were available to help them access healthcare services if required. We saw that the service worked closely with healthcare professionals to ensure good

outcomes for people.

Staff provided people with person-centred care. Staff understood people's individual care needs and preferences and knew how to support people in their preferred way.

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, however, documents relating to best interests had not always been completed.

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 11 April 2019 and this is the first inspection.

Why we inspected

This was a planned inspection based on date of registration.

Enforcement

We have identified a breach in relation to the lack of oversight of the service being provided.

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