9 June 2023
During a routine inspection
LJ Sure Mercies is a domiciliary care agency. It provides personal care to people living in their own homes. At the time of the inspection there was 9 people using the service. The service provides support to older people, people and people living with dementia.
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
Medicines were not always managed in a safe way. Risk management plans were not always detailed and did not give staff clear guidance to help mitigate risks. The provider needed to introduce more robust systems to monitor the service as they did not identify the issues we found during the inspection. We made a recommendation to the provider to implement more robust monitoring procedures. The registered manager took prompt action to address the issues we found during the inspection.
Staff were recruited safely. People were notified when staff were running late. The registered manager was recording all accidents and incidents, and these were discussed in team meetings to improve practice.
The registered manager was not recording staff’s induction process which meant we could not be assured they had the training to carry out their role. People’s nutritional needs were recorded. People receiving care, relatives and staff told us they felt the service was well run.
Staff completed training and received support to ensure they had the appropriate skills to meet people's care needs in a safe and effective manner. People’s needs were assessed, and this information was used to help the registered manager agree the person’s care needs.
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’s care was personalised, and it was clear that staff knew people well. The registered manager had procedures in place for dealing with complaints.
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 us on 3 September 2021, and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Recommendation
We made a recommendation to the provider to implement more robust procedures for monitoring the service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.