12 January 2023
During an inspection looking at part of the service
Medirite Healthcare provided support to 4 people at the time of the inspection. The service is registered to support older people including those living with dementia, younger adults, people with learning disabilities and autistic spectrum disorders, sensory impairments and people requiring support with their mental health. 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. At this inspection, they were providing a regulated activity for 1 person in a supported living setting.
People’s experience of using this service and what we found
Staff were not recruited safely, the provider failed to ensure that all relevant checks were made to ensure that staff were of good character.
Governance systems were not effective at identifying where improvements were required.
People’s plans of care and risk assessments did not always contain up to date information. People received their medicines as prescribed and were dispensed by staff who were trained and competent to carry out the task. People were protected from the risk of abuse. Accidents and incidents were recorded with appropriate actions taken to reduce the risk of re-occurrence.
Staff felt supported by the management of the service. Management understood their duty to be open and honest with people when things went wrong. The service worked alongside other agencies to ensure people received support when needed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was good (published 20 May 2017).
Why we inspected
We received concerns in relation to an adverse incident. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Medirite Healthcare on our website at www.cqc.org.uk
Enforcement
We have identified breaches in relation to safe recruitment of staff and 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 meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.