Miss Leanne Porter Also known as X-Spect Care & Attention

Miss Leanne Porter is a home care service providing personal care to adults with a range of support needs in their own homes. At the time of the inspection there were 9 people using the 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

People’s risks were identified, monitored and managed, however they were not always clearly assessed or recorded. People’s medicines were not always safely managed, there were some gaps in information and record keeping.

The systems in place to monitor the quality of the service were not always effective. Although staff were aware of people’s needs and how to manage their risks, these were not always clearly recorded and the current systems in place had not identified this. Improvements were required to identify when guidance for staff was not always documented or when staff did not record when tasks were completed.

People were protected from the risk of harm or abuse. People were supported by staff who were recruited safely. The provider had effective control systems in place to help ensure people were protected from the risk of infection. Lessons were learnt when things went wrong.

People’s care needs were assessed and used with their choices to form their care plan. Staff received a full induction and training and were supported to effectively meet people’s needs. People were supported to eat and drink and maintain a healthy diet. The provider worked in partnership with other health and social care professionals to ensure people received consistent and effective care.

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 were well treated and supported with their equality and diversity respected. People were supported to share their views and be involved in decisions about their care. People’s privacy, dignity and independence was respected and promoted.

People received personalised care which met their needs and preferences. The registered manager was aware of the Accessible Information Standard. People were supported to maintain relationships and follow their interests. People and their relatives we spoke with confirmed they did not have any complaints. People received end of life care and support where required.

People, their relatives and staff were engaged and involved in the service. The registered manager and staff shared a positive culture which was person-centred and open and honest. The registered manager took action to update people’s care plans to include required risk assessments and guidance for staff. They were also in the process of updating people’s medicine administration charts to include specific information for staff.

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 10 October 2020 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Enforcement and Recommendations

We have identified a breach in relation to good governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from 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 continue to monitor information we receive about the service, which will help inform when we next inspect.