Archived: Perfect Care Solutions UK Ltd

Perfect Care Solutions UK Ltd a care at home service that provides personal care support in people’s homes to people with mental health and physical disabilities. At the time of our inspection there was 1 person using the service.

Not everyone who used the service received 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. One person was in receipt of personal care at the time of our inspection.

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

People were not protected from the risk of abuse. The provider failed to have policies or systems in place for staff to follow to keep people safe. People were at risk of potential harm as risks were not identified, assessed, reviewed or mitigated. Staff were not recruited safely. The registered manager and provider failed to ensure there were systems in place to check staff were suitable for the role they were carrying out. Medicines were not safely managed.

People's needs and choices were not assessed. Staff did not receive on-going training or support. People were not supported to maintain a balanced diet. People were not supported with their health needs. People were not supported to have maximum choice and control of their lives and staff did not 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.

People did not have care plans in place, and we could not be assured people’s needs and preferences were discussed with people or were being met. The provider did not have a complaints policy and process in place.

The provider and the registered manager were not aware of their legal responsibilities and did not ensure the service was meeting the regulations. The provider did not understand their responsibilities around the duty of candour. The provider had not notified CQC about things they had a duty to report. The provider did not promote a positive, person-centred culture. People were not empowered, and good outcomes were not achieved.

The provider did not engage people or staff to improve the service. The were no records to demonstrate the provider continuously learned so care could improve. The provider did not work in partnership with others. We could not be assured people benefited from the input or expertise of other health professionals.

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’ 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 it.

At the time of the inspection, the location did not care or support anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

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

Rating at the last inspection

This service was registered with us on 3 October 2019 and this is the first inspection.

Why we inspected

We undertook this inspection so the service could be rated. Although we inspected all 5 key questions, we were unable to rate the Caring key question due to the lack of evidence. We will review this key question at our next inspection.

We have found evidence that the provider needs to make improvements. Please see the Safe, Effective, Caring, Responsive 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

We have identified breaches in relation to safe care and treatment, safeguarding, person-centred care, staffing, fit and proper persons employed and good governance at this inspection. We took action and cancelled the providers registration.