20 October 2022
During a routine inspection
Hadi Care is a domiciliary care service that provides care and support for people 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 the service was supporting 30 people with personal care.
People’s experience of using this service and what we found
Medicines were not always managed safely. Some risk assessments and updates of care plans were not completed, increasing potential risks to people. The service did not have an effective audit system in place to monitor the quality of the service.
Staff received feedback about the quality of the care and support they provided. Staff followed good infection control practices, including wearing personal protective equipment when supporting people. Safe recruitment practices were followed.
The service promoted high quality, person centred care and had an open and honest culture. The registered manager was approachable and supportive and provided strong leadership to the team. People, relatives and staff spoke highly of the management at the service.
Staff knew people well and supported them based on their needs, choices and preferences. They were knowledgeable about people and the topics we asked them about. Staff received training which provided them with the necessary knowledge to meet people’s needs. Staff spoke very positively about the support they received and the quality of the service.
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 were supported in decision making and staff respected peoples cultural and spiritual needs. People were supported by consistent and caring staff and had the opportunity to voice preferences for staff, which included preferences around the gender of staff.
Effective communication was a key feature in the service. Staff were in some cases specifically recruited to meet people’s communication needs. The service caters for people with specific dialects as they recruit staff with these language skills. End of life care planning was evident for people and showed their relatives involvements.
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 5 July 2019 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service. We have found evidence the provider needs to make improvements. Please see the safe and well led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
Enforcement and Recommendations
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 monitor the service and will take further action if needed.
We have identified breaches in relation to management of risks, medicine management and good governance at this inspection.
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.