A domiciliary care service based in Hackney has been rated as Inadequate overall by the Care Quality Commission.
Havilah Office was rated as Inadequate for being safe, effective and well-led. It was rated Requires Improvement for being caring and responsive, following an inspection in October 2017.
At a previous inspection in May 2017, CQC rated the service as Requires Improvement, identified breaches of three regulations and served a warning notice in relation to safety, care and treatment.
At this most recent inspection inspectors found that the service had not taken adequate action to improve.
CQC found that people were not protected from risks to their health and wellbeing.
Staff did not know how to mitigate certain risks people faced.
One relative said that they had to explain to staff how to keep their family members safe while care was provided.
Care documentation was disorganised and was not reviewed on a regular basis. The information contained did not provide enough detail to enable staff to provide person-centred care.
Medicines were not managed safely. Accurate records about which medicines were given were not maintained. The management team was unaware of all the medicines that were being provided to people.
Staff were not adequately trained to meet people's needs. Staff were not fully supported in their role by an adequate induction period, supervisions or appraisals. The provider could not be assured that people were suitable for working in the caring profession because they had not recorded the outcome from criminal record checks.
Inspectors found five breaches of the regulations around training, safe care and treatment, person-centred care, good governance and meeting nutritional and hydration needs.
The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’.
Services in special measures will be kept under review and, if we have not taken immediate action to propose to cancel the provider’s registration of the service, will be inspected again within six months.
The expectation is that providers found to have been providing inadequate care should have made significant improvements within this timeframe.
You can read the report in full on our website.
Debbie Ivanova, CQC’s Deputy Chief Inspector of Adult Social Care, said:
“Havilah Office is now rated Inadequate overall. It has got worse since our last inspection when it was rated Requires Improvement."
“We found numerous breaches of regulations and staff that were not adequately trained. Havilah Care clients were not receiving the quality of care they are entitled to receive.”
Ends
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We found numerous breaches of regulations and staff that were not adequately trained
Debbie Ivanova, Deputy Chief Inspector for Adult Social Care