Ryan's

Ryan’s is a domiciliary care agency providing personal care to people living in supported living properties. 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 inspection 11 people were receiving personal care.

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

Medicine management required improvement. Medicine administration records were not consistently completed, and we found errors in the recording of medicines.

Mitigating known risks to people had not been consistently recorded. Strategies put into place to the reduce the risk of harm to the person had not always been recorded.

Care plans did not always contain sufficient or factual information. Records of when support was offered or completed with a person were not consistently completed.

Oversight of the service required improvement. Audits were not always effective in identifying when records were incorrect or incomplete.

People were protected from the risk of abuse. Systems and processes were in place and staff were trained and understood safeguarding procedures. People told us they felt safe.

People were supported by staff who knew them well, had appropriate training and who had been safely recruited.

People were protected from risks of infection. Staff wore appropriate Personal protective equipment and received training in infection prevention and control.

People were supported to access healthcare services as required. The registered manager made referrals to healthcare professionals as needed.

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 and relatives were happy with the care and support they received. People told us staff were kind and responsive to their needs and staff respected their dignity and privacy.

People and their relatives were involved in the care planning process. People were supported to maintain relationships that were important to them.

Staff communicated with people in their preferred method. People were able to feedback their views on the service. People, relatives and staff all knew how to complain and felt listened to by the registered manager.

The registered manager was open to feedback and was committed to improving care. Staff and management worked in partnership with others to learn and improve.

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 15 May 2020 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about safeguarding concerns. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.

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 have identified breaches in relation to oversight 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 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.