We carried out a review of the data available to us about Amachyck Care Solution Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Amachyck Care Solution Ltd, you can give feedback on this service.
Amachyck Care Solution Ltd is a domiciliary care agency registered to provide personal care. At the time of the inspection two people were receiving care.
People’s experience of using this service and what we found
Risks to people were assessed and monitored. People’s medicines were managed safely. The service had systems in place to safeguard people from abuse and record incidents and accidents. There had been no incidents, safeguarding or otherwise, but we were assured people would be kept safe and the provider would learn from lessons when things went wrong. Staff recruitment processes were robust, and people and relatives had no concerns with staffing. There were infection prevention and control measures in place.
The service assessed people so they knew whether they could meet their needs. Staff were trained and received supervision in their roles. People were supported to eat and drink healthily. People were supported with their healthcare needs and staff at the service communicated effectively with each other and the management. 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. Staff sought people’s consent and people’s consent was recorded in their care plans.
People told us they were treated well by staff. Staff understood and respected people’s diversity, and their privacy and dignity. Staff promoted people’s independence. People were supported to express their views and be involved in decisions about their care.
Peoples needs were recorded in personalised care plans and staff knew people’s needs. The service supported people with their communication needs and sought to ensure people could take part in activities they wanted to. People and their relatives knew how to complain and who to complain to.
People, relatives and staff thought the service was well led. Staff were clear about their roles and understood regulatory requirements and duty of candour. There were quality assurance measures in place. People, relatives and staff were able to engage with the service through different ways and have their voice heard. The service worked with others for the benefit of people who used the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
This service was registered with us on 20 June 2019 and this is the first comprehensive inspection. We completed a focused inspection (published 04 January 2021) and rated the safe domain requires improvement and the well led domain inadequate. We do not provide an overall rating when we do not inspect all domains.
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
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.
Amachyck Care Solution Ltd is a domiciliary care agency registered to provide personal care. At the time of the inspection two people were receiving care.
People’s experience of using this service and what we found
Risks to people were not always recorded and there was little information on mitigating risks. Medicines were not managed safely and the service did not follow their own medicine administration policy. Staff recruitment was not robust though there were enough staff working at the service. It was unclear whether lessons would be learned when things went wrong as there had been no incidents or accidents at the service. Staff had completed training in safeguarding but there had been no local procedures drawn up for staff should there be an allegation of abuse. We have made a recommendation to the provider to follow best practice guidance in this regard.
Staff inductions were not recorded. Staff were using specialised equipment without the provider having evidence they were able to do so. No staff had received supervision.
Care plans lacked information to provide person centred care and at times gave inaccurate information and instructions.
There was only one quality assurance process at the service, medicine administration auditing which had been completed incorrectly as it merely copied information rather than checked on quality. The provider had failed to assure staff had read any of the service’s policies so it was unclear whether they would know what to do in any situation. There had been no spot checks of staff and there were no records of people, relatives or staff providing feedback about the quality of care at the service. Staff meetings were not recorded. The registered manager and the service had no links to, nor was member of, any forums or support networks which may enable the service to learn from peer organisations.
Relatives spoke highly of the carers and of the registered manager.
Rating at last inspection
This service was registered with us on 20 June 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the previous rating.
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 discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We have identified breaches in relation to safe care and treatment and good governance at this inspection.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will request an action plan for 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.