Legend Integrated Care

Legend integrated care is a domiciliary care service which supports people in their own flats and houses. They currently provide a live-in care service in two people’s own homes.

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

We found there were some shortfalls with how the management team audited and assessed the quality of the service. Risk assessments and care records were not always complete. Effective plans had not always been made to respond to the risks some people could face.

The management team were not supporting people to make end of life plans or having conversations about this. They were also not completing mental capacity assessments for people. People were not supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

Staff did not always support people to maintain their social life and follow their interests. The registered manager did not effectively check staff competency when they supported people to follow their interests. They were not reviewing the quality of this aspect of people's care. People’s care plans lacked detail to guide staff on how to support people’s physical needs.

People and their relatives spoke well of the service provided. They told us they felt safe and believed the staff were kind and caring.

People had regular staff who met their care needs. Staff knew how to keep people safe from harm.

Staff spoke of how they enjoyed working for Legend Integrated Care. Staff felt well supported by the management in terms of their availability when something goes wrong, with regular supervisions, meetings and training.

There was a positive culture in the management and staff team. They were passionate about managing the work and providing care visits which meant staff could fully meet people’s care needs in a sensitive and thoughtful way.

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

Rating

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

Why we inspected

This was a planned inspection based on the date the service was first registered.

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 monitor the service. 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 a breach in relation to the governance of the service and how the provider and registered manager monitored the quality of the service, at this inspection.

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 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.