10 March 2021
During an inspection looking at part of the service
Allerton C&S GL provides domiciliary care services to people who require care and support in their own homes. The service provides personal care as part of a reablement service to enable people to regain independence. Not everyone who uses the service may receive personal care. The Care Quality Commission (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 providing personal care to 2 people.
Adwell Supported Living changed its company name on 24 March 2021 to Allerton C&S GL. The location was previously registered at office 1.39, building 2, Croxley Business Park, Watford, WD18 8YA. The address changed to 49 Clarendon Road, Watford, WD17 1HP on 24 March 2021 during this inspection.
People's experience of using the service and what we found.
People were protected from harm and abuse, however we found one serious incident that had not been robustly investigated. Staff knowledge about reporting their concerns outside of the organisation was variable. Learning from incidents was not fully embedded into staff practise.
Individual risks were assessed to help keep people safe and reviewed as people’s needs changed. However, we found for one person decisions taken to monitor their safety impeded their privacy.
People were not assessed or supported to manage their medicines independently.
People felt safe and were happy with the care provided to them. People were referred to health professionals when needed and this guidance was followed.
Systems and processes in place to monitor and oversee the quality of care people received were not always effective. Audits and checks of the service were not routinely completed.
Arrangements were in place to prevent and control the spread of infections
People were not supported by sufficient numbers of staff who knew them well. Staff were employed following the required staff recruitment checks being completed.
People and staff were positive about the support given to them by the provider and newly employed manager.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good
Why we inspected
We received concerns in relation to people not receiving safe care and a lack of management and oversight. As a result, we undertook a focused inspection to review the key questions Safe and Well-Led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.
We have found evidence that the provider needs to make improvement. 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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Allerton C&S GL on our website at www.cqc.org.uk.
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.