8 December 2022
During a routine inspection
Keyznow Health and Social Care Ltd is a domiciliary care service that provides personal care to people living in their own houses and flats. At the time of our inspection there were two people using the service. 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 always identified, assessed and documented. Medicines were not managed and administered safely. People's care was not consistently personalised. Care plans did not always identify or reflect individuals' preferences in the way they wished to be supported, or contain detailed information about their needs, wishes and the support they needed. Systems and processes in place for monitoring the quality and safety of the service were not robust or effective in identifying issues and concerns found at this inspection and for helping to drive service improvements.
People were protected from the risk of abuse. There were safeguarding and whistleblowing policies and procedures in place. Staff knew how to report incidents or accidents appropriately. People were protected from the risk of infection and staff were supplied with appropriate Personal Protective Equipment (PPE) to keep them and the people they supported safe.
People were supported to maintain a balanced diet where this was part of their plan of care. Staff sought consent from people when offering them assistance. People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff received training and support relevant to their needs and the needs of the people they supported. People were supported where required to access a range of health and social care services when they needed them. Staff received equality and diversity training and were committed to providing a service which was non-discriminatory. The provider had a complaints policy and procedure in place. The registered manager understood the responsibilities of their role including the duty of candour.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 7 May 2021 and this was the first inspection.
Why we inspected
We conducted a comprehensive inspection which looked at all the key questions so we could provide a rating for the service.
Enforcement
We have identified breaches in the regulations in relation to person centred care, safe care and treatment and good 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 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.