We carried out a review of the data available to us about Adicare on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Adicare, you can give feedback on this service.
Adicare is a domiciliary care service providing personal care to people in their own homes. At the time of our inspection there were 46 people receiving this service.
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
Risks to people’s health were assessed to reduce risks, but not all risks identified had instruction’s for staff about how they would manage those risks.
We have made a recommendation about risk management.
People were protected from the risk of abuse and neglect. There were enough staff to provide safe care to people in their homes. Shortfalls were covered by agency staff, who in some cases became permanently employed.
Medicines were safely administered. Staff followed infection control policies and procedures, including COVID-19 guidance to reduce the risk of the spread of infection. Systems were in place to ensure that accidents and incidents were recorded and acted upon.
People had their needs assessed prior to receiving personal care. Staff were inducted effectively into the service and trained. Staff received regular supervision to develop their roles. Where needed people were supported with their meals and to maintain a balanced diet. Referrals were made to other health and social care professionals as and when required.
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 their relatives were listened to and were able to make decisions about their care. Staff were kind, caring and respectful. Care was provided in a dignified and respectful way.
People received person-centred care. They were able to make choices about the way they wanted their care to be provided. A complaints policy and system was in place so that any complaints could be dealt with appropriately. People felt able to raise concerns with staff and management if needed.
The registered manager had a good understanding of the regulatory requirements of their role. People’s feedback on the quality of care was sought. Relatives of people told us they felt the service was well managed. Systems were in place to monitor and check on all areas of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection and update
The last rating for this service was requires improvement (published 15 April 2021).The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
We carried out an announced comprehensive inspection of this service on 24 February 2021 A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve Good Governance.
We undertook this inspection to check they had followed their action plan and to confirm they now met legal requirements. This report covers our findings in relation to the Key Questions Safe, Effective, Caring Responsive and Well-led which contain those requirements.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Kare Plus Newark is a domiciliary care agency providing personal care to people in their own homes. 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. There were 36 people receiving regulated activity at the time of the inspection.
People’s experience of using this service and what we found
Systems were in place to review and monitor safeguarding concerns, but no information to identify action taken to mitigate risks had been recorded.
Risks were not always identified and assessed. The management team were reviewing all people’s known risks and rewriting care plans to incorporate this information.
People received their medicines as prescribed, but some people’s levels of support required review.
Personal Protective Equipment (PPE) was in good supply, but not always in line with the government guidelines. Staff who were exempt from wearing masks were not always risk assessed to ensure they kept people safe.
We have made a recommendation about the provider reviewing government guidance for staff exempt from wearing masks.
Staffing levels were adequate and recruitment checks were in place to ensure staff were suitably employed, but not all interview notes were completed for the rationale to employ the member of staff.
Improvements had been identified through lessons learnt and monitoring processes following incidents and accidents.
Care assessments did not consider the full range of people’s diverse needs. Staff training was in progress and we saw that improvement had been made and staff had participated in face to face training to ensure they fully understood what was required from them as part of their role. Supervision had been implemented and staff felt more supported.
People were supported to maintain and improve their nutrition. Staff were aware of the impact good nutrition and hydration had on people. There were clear systems and processes to refer people externally to other services.
People were treated with kindness and this was reflected in the feedback we received. Staff were given time to develop relationships as care calls had been reviewed and re-developed. People were involved in developing their care and support. Choices and preferences were being adhered to. Care planning was under review to focus on the individual care needs.
People said the service was not consistently well led, but improvements had been made with a new registered manager in place.
The culture of the service was open and transparent. Quality assurance arrangements were not robust; however, the provider was working alongside the local authority to ensure improvements were being made.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 31/07/2019 and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about safeguarding, medicines documentation, missed care calls, quality of training and care plans not in place. 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, Effective, 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.
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.