16 December 2022
During an inspection looking at part of the service
Kwikfix Recruitment Services Limited Oxford Branch is a domiciliary care service providing care to people in their own homes. The service provides support for adults over and under the age of 65, people with dementia, learning disabilities and physical disabilities.
People’s experience of using this service and what we found
This was a targeted inspection that followed up the warning notice served at the previous inspection around the safety of the service.
We use targeted inspections to follow up on Warning Notices or to check concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
The provider had made some improvements in relation to risk assessment, staff knowledge and training and guidance.. However, we found improvements were still required in relation to safe medicines management and learning from incidents and accidents.
Systems to ensure the safe managements of medicines were still not fully effective in ensuring good standards of care were delivered. People’s medicines support needs had not been adequately reviewed or updated since the last inspection.
People’s care plans had not been reviewed in order to asses people’s risks and needs and document the support people required. Some of the checks and changes identified as being complete within the service’s action plan had yet to be updated or implemented.
Since the last inspection, the service had ensured; staff competencies were updated, further training was completed, and spot checks were carried out in order to ensure safe practice. Documentation had also been provided to staff to ensure they understood one person’s support needs, and the risk associated with this.
Staff had a good understanding of people’s needs and the support they required.
Following the last inspection the provider sent an action plan detailing how they would meet the warning notice. Not all of these actions had been completed at this inspection, which indicated further concerns about the effectiveness of the provider’s quality assurance and governance systems. During the last inspection, we found the provider was in breach regulation 17, good governance, this was documented within the previous report.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
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 requires improvement (published 21 October 2022).
At the last inspection we served a warning notice around safe care and treatment. At this inspection we found that some improvements had been made. Therefore, the provider had partially met the warning notice, however remained in breach of regulations.
The provider remained in breach of regulations around safe care and treatment as further improvements were required and needed embedding into practice. This was a continued breach of regulation 12(1) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
Why we inspected
We undertook this targeted inspection to check whether the warning notice we previously served in relation to Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. The overall rating for the service has not changed following this targeted inspection and remains requires improvement.
Enforcement and Recommendations
The provider remains in breach of regulations found at the last inspection. These relate to keeping people safe from potential abuse, assessing risks and needs and mitigating risks to people.
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.
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.
You can read the report from our last comprehensive inspection, on our website at www.cqc.org.uk