The Care Quality Commission
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KEPA Care Solutions Limited

Overall: Inadequate read more about inspection ratings

Abike House, 18 Hero Walk, Rochester, ME1 2UZ 07399 126933

Provided and run by:
KEPA Care Solutions Limited

All Inspections

During an assessment under our new approach

KEPA Care Solutions Limited is a domiciliary care agency providing personal care to people in their homes. The service supports young adults with a learning disability and autistic people. We completed the assessment on 10 July 2024. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ (RSRCRC) is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to this. We found the provider and registered manager were not following this guidance and people were not receiving the care and support they needed. We found significant shortfalls across the service and identified 8 breaches of regulation including, providing people with person centred care, dignity and respect, need for consent, safe care and treatment, staffing, safeguarding, good governance and notification of other incidents. We took urgent action to prevent the provider from taking further care packages without the written agreement of CQC. We placed conditions on the provider’s registration for them to send us action plans advising us how they planned to improve the service.

During an assessment under our new approach

KEPA Care Solutions Limited is a domiciliary care agency providing personal care to people in their homes. The service supports young adults with a learning disability and autistic people. We completed the assessment on 10 July 2024. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ (RSRCRC) is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to this. We found the provider and registered manager were not following this guidance and people were not receiving the care and support they needed. We found significant shortfalls across the service and identified 8 breaches of regulation including, providing people with person centred care, dignity and respect, need for consent, safe care and treatment, staffing, safeguarding, good governance and notification of other incidents. We took urgent action to prevent the provider from taking further care packages without the written agreement of CQC. We placed conditions on the provider’s registration for them to send us action plans advising us how they planned to improve the service.

11 April 2023

During a routine inspection

About the service

KEPA Care Solutions Limited is a domiciliary care agency providing personal care to people in their homes. The agency provides care and support for people in Rochester area of Medway. People receiving care and support were younger adults with epilepsy and Fragile X syndrome (condition characterized by an X chromosome that is abnormally susceptible to damage, especially by folic acid deficiency). At the time of the inspection, they were providing personal care to 2 people.

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.

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

We received positive feedback from people who used the service and relatives. A person said, “I am happy with my care.” Another said, “Staff who support me know my needs well and I am happy they do.”

The registered manager and staff understood how to keep people safe from abuse and raise safeguarding concerns. Care plans contained detailed risk assessments. Risk to people’s health and wellbeing were addressed and mitigated. Environmental risk assessments were also in place, which identified and reduced any environmental risks to people and staff.

People told us they felt at ease with staff. People were cared for by staff who treated them with kindness, dignity and respect.

There were enough staff deployed to meet people’s needs. The provider operated a safe and robust recruitment and selection procedure to make sure staff were suitable and safe to work with people. They also received support and supervision to enable them to carry out their roles safely.

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 encouraged to make their own choices about everyday matters. People’s decisions and choices were respected.

Where necessary, people were encouraged to have a healthy diet which met their health needs. People were supported and helped to maintain their health and to access health services when they needed them.

The service had an effective system in place to assess, monitor and improve the quality and safety of the services provided. Staff told us there was an open culture where they were kept informed about any changes to their role. Staff and people told us the manager was approachable and listened to their ideas and suggestions.

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 01 September 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.