Updated 18 July 2024
Date of assessment 25 July to 10 September 2024. Clarity Homecare (Bristol) is a home care service providing personal care to adults in their own home. The service was supporting 92 people at the time of the inspection. 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. We looked at 6 quality statements; Safeguarding; Involving people to manage risks; Safe and effective staffing; Medicines optimisation; Learning culture; Good governance. We rated the service requires improvement in the safe and well led key questions and overall. The ratings for other quality statements remain good. We found shortfalls relating to safeguarding. Systems had been created, but the recording of safeguarding issues or actions before this was inconsist. We also found risk assessments were not always sufficiently detailed or up to date and there were errors and gaps regarding medicines. Procedures for recruiting staff were not robust. De incomplete and checks and training were not always completed as required. The management team had identified gaps and were making improvements in all of these areas. Governance and accountability systems were not always effective or embedded. Audits were not completed consistently, and shortfalls were not always identified. CQC had not been notified about some incidents. This is a legal requirement. The provider had identified improvements were needed and were making changes in line with their action plan. We received mixed feedback from people about the staff who supported them. Staff were positive about changes and the support they now received from the management team. There were breaches of the legal regulations in relation to safeguarding, safe care and treatment, fit and proper staff, and good governance. We have asked the provider for an action plan in response to the concerns found at this assessment.