Archived: Carebright Evesham

Updated 20 January 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

This service is a domiciliary care agency and supported living service. It provides personal care to people living in their own homes. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

At the time of the inspection the service did not have a manager registered with the Care Quality Commission. This means the provider is legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced and took place on 19 November 2020.

What we did before the inspection

We reviewed information we held about the service. We sought feedback from the local authority and professionals who work with the service. We also requested feedback from Healthwatch to obtain their views of the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with four people who used the service about their experience of the care provided. We spoke with five members of staff including the provider, senior care worker and care workers.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at four staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records sent to us by the provider.

Updated 20 January 2021

About the service

Carebright Evesham is a domiciliary care agency and supported living service providing personal care to people living in their own homes. There were four people using the service at the time of inspection.

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

Quality assurances processes were ineffective. There was a lack of management oversight of the service being provided. Systems, processes and checks had failed to identify the shortfalls we identified during our inspection visit.

Risks to people’s safety was not well managed which placed people at risk of harm. People were not always supported by staff that had received the necessary training to meet their needs. Care plans were not always being followed including medicine administration and management.

Some people using the service told us they were not happy about their care and support they received. People were not always supported to attend health appointments.

People were not supported by staff to keep their home clean and well kept.

Staff were not always being recruited safely. Checks made prior to employment had not always been carried out to ensure staff were of good character before working with vulnerable adults which could impact on the safety of people who used the service.

People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible and in their best interests; the policies and systems in the service did support this practice.

Safeguarding procedures were in place to protect people.

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 the Care Quality Commission on 28 November 2019 and this was the first inspection.

Why we inspected

We undertook a focused inspection to review the key questions of safe, effective and well-led only. We reviewed the information we held about the service.

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 and 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 breaches in relation to keeping people safe in relation to their medicines, risks and care planning as well as the governances of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

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.