6 June 2023
During a routine inspection
LA’s Community Care Ltd is a domiciliary care agency providing person care. The service provides support to adults, older people and people who may be living with dementia. At the time of our inspection there were 13 people using the service who received a regulated activity. 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
Systems and process to monitor the quality of the service needed improvement. The auditing systems had not identified the areas we found at this inspection.
Risk assessments were not always in place or were not sufficiently robust. When people’s needs had changed care plans and risk assessments had not been reviewed in a prompt manner. Medicines were administered but records were not always sufficiently robust. We have made a recommendation about this.
People felt safe with the staff who supported them and there was systems in place to monitor attendance at care calls.
New staff received an induction and felt supported in their roles. Where people required support with their nutrition this was provided, and care plans contained people’s food preferences. People were supported to have maximum choice and control of their lives and 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 were kind and caring. They treated people with respect and protected their privacy and dignity.
People were happy with the care and support they received and felt fully involved and promoted to make choices.
People and staff felt involved in the service. There was good staff morale and they felt well supported. The provider held events to engage with the local community and to support registered charities.
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 15 March 2022 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement and Recommendations
We have identified breaches in relation to risk management and governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
We have made recommendations in relation to medicines records.
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.