15 June 2023
During an inspection looking at part of the service
Midas Care Solutions Ltd is a domiciliary care service providing personal care to people living in their own homes. Midas Care Solutions Ltd provides personal care to people with dementia, learning disabilities, physical disabilities, sensory impairments, younger adults and older people. At the time of the inspection 106 people were using the service for personal care.
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
Risks to people were not consistently assessed and planned for however staff understood how to reduce risks. Medicines were not consistently recorded in people’s medicine administration record to show they were given as prescribed.
People did not consistently have their health needs assessed and planned for, there was a lack of guidance for staff on how to support people to maintain their health.
People were not supported to have maximum choice and control of their lives and whilst staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service did not consistently support this practice.
Systems and processes to monitor the risks to people were not consistently identifying areas of concern and enabling improvements.
People were safeguarded from abuse as staff understood how to recognise potential abuse and reported any issues for investigation by the appropriate inspection. There were enough safely recruited staff to meet people’s needs. Where incidents had happened there were processes in place to reduce and prevent further incidents.
The provider had processes in place to learn and make improvements to the service and they worked with other agencies to provide people's care.
An initial assessment of people’s needs was undertaken, and people and their relatives were involved in this process. People were supported by a consistent staff team who were supported in their role and received regular updates to their training. Where people required support with their meals and drinks this was provided by staff.
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
Rating at last inspection.
The last rating for this service was requires improvement (6 August 2019). The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.
Why we inspected This inspection was prompted by a review of the information we held about this service.
Enforcement
We have identified breaches in relation to how people are supported to consent to their care and the governance of the service 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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk