Archived: One Step Domiciliary Care

The provider ensured staff were supervised and appraised. However training files evidenced that over half of the staff's yearly mandatory training had elapsed. This could mean that staff may not have the training necessary to protect people from harm.

We saw evidence the provider audited the quality of the service. They conducted monthly audits, ensured learning from incidents and accidents and ensured people who use the service and their relatives were aware of the provider's complaints policy.

Records were held securely and were up to date. Support plans were personalised and contained relevant information. Files were stored securely and retained for an appropriate period of time before being destroyed.

At an inspection in March 2013, the service had not notified CQC of allegations of abuse or incidents reported to the police. We found the provider had taken all necessary steps and were now compliant with the regulation.

At this inspection the provider did not have a registered manager in place. The provider was in the process of applying for a new registered manager. This was the manager we spoke with during this inspection.

People's comments included, "They always come when they say they will" and "I'm happy with them; they are very nice and help me when I need it." One relative spoken with told us, 'It is working out wonderfully; I think they do a good job.'

We found that the care and support needs of people using the service were assessed and recorded in their support plans. Risk assessments had been completed to make sure that people were cared for safely.

The service had recruitment policies and procedures to make sure that all required pre-employment checks were carried out. This meant that people using the service were cared for and supported by suitable staff.

The service had policy and procedures in place for the management of medicines and supported people using the service to make complaints.

We found the service had not notified the Care Quality Commission without delay of allegations of abuse or where an incident was reported to the police, relating to people who use the service.