About the service EnhanceAble Living is a domiciliary care agency. It provides a personal care support service to people in their own homes. At the time of inspection, four people were receiving support with personal care from this service.
The Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’; 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
At the last inspection monitoring and audit systems did not always identify issues in relation to the quality of care provided through keeping up to date records, including recruitment, medicines administration and spot checks.
This was a breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
At this inspection monitoring and audit systems identified issues in relation to the quality of care provided by keeping up to date records, including recruitment, medicines administration and spot checks and action taken was clear.
The agency management and leadership were transparent and there was an open culture that was honest and positive. The statement of purpose clearly defined the agency vision and values, that staff understood and followed. Areas of responsibility and accountability were made clear to staff and they were willing to take responsibility and report any concerns they may have, when needed. The agency reviewed service quality and made changes to improve the care and support people received. This was in a way that best suited people. The agency had well-established working partnerships that promoted people’s participation and reduced social isolation. Registration requirements were met.
The service provided was safe for people to use and staff to work in. People were supported to live in a safe way and enjoy their lives, by staff who were appropriately recruited and trained. Risks to people using the service and staff were assessed and monitored. The agency reported, investigated and recorded accidents, incidents and safeguarding concerns. Medicines were safely administered, by staff trained to do so. The agency met shielding and social distancing rules, used PPE effectively and safely and the infection prevention and control policy was up to date.
Rating at last inspection
The last rating for this service was Requires Improvement (published 17 July 2019).
Why we inspected
This inspection was prompted in part due to ongoing concerns about audits and monitoring systems not always identify issues in relation to people’s care and safety. A decision was made for us to inspect and examine the risks associated with these issues.
Care Quality Commission (CQC) has introduced focused/targeted inspections to follow up on previous breaches and to check specific concerns.
We undertook a focused inspection approach to review the key questions of Safe and Well-led where we had specific concerns about staffing numbers and audit management.
As no concerns were identified in relation to the key questions is the service Effective, Caring and Responsive, we decided not to inspect them. Ratings from the previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk