- Homecare service
Evolve Supporting Prospects
Report from 3 May 2024 assessment
Contents
Ratings
Our view of the service
EVOLVE Supporting Prospects provides homecare support and live-in care for people living in the Borough of Bury. The service currently supports 54 people. The assessment began on 3 June 2024 and concluded on 27 June 2024. The inspection was prompted in part by notification of an incident following which a person using the service died. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk of choking. This inspection examined those risks. We looked at 14 quality statements; Safeguarding; Involving people to manage risks; Safe and effective staffing; Management of people’s medicines, Independence, choice and control, Kind and compassionate care, Assessment and Person-centred care and areas of Management, Governance and continuous Learning and Improvement. We found five breaches of the legal regulations; safe care and treatment, good governance, staffing and fit and proper person. Appropriate assessments to guide staff in areas of risk needed expanding upon, including arrangements for people’s prescribed medicines. Safe recruitment procedures were not in place and further staff training and support was needed to enhance their knowledge and skills. Governance systems needed to be implemented and embedded to demonstrate clear management and oversight of the service. However, people were supported to have choice and control and gave positive feedback on the staff and the care and support they received. We have asked the provider for an action plan in response to the concerns found at this assessment. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.
People's experience of this service
We spoke with 6 people and 4 relatives about their experience when using the service. People were happy with the care and support they received and felt their wishes and feelings were considered and respected. People said staff had the knowledge and skills needed to support them in a safe way. We were told most visits were carried out at the time and duration agreed. People said support was consistent from staff who knew them. We were told, “The staff are wonderful. They are brilliant they are all kind” and “Yes I can’t fault them; they do a good job and treat me well.’ People felt able to speak up if they had any issues or concerns and were confident managers would respond appropriately. Comments included, “I have been with the company a long time and I have never had any complaints. I feel it is well managed, everything runs smoothly regarding my support” and “I would call the office if I needed help or had a concern.”