About the service Ohio Homecare Ltd is a domiciliary care service providing personal care to people in their own homes. At the time of inspection there were eight people receiving personal care. This included older people and people living with dementia.
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
Medicines were not always managed safely. The service could not provide assurances that people had been given their medicines as prescribed. The provider did not have effective quality assurance systems to assess, monitor and improve the quality of all key areas of the service.
Care plans and risk assessments were in place. However, they contained limited information for staff in relation to people's health needs and guidance for staff to help them support people safely. We have made a recommendation that every person using the service has care delivered in line with their needs and person-centred care plans. We have also made a recommendation that the provider implements a system for the provision of end of life care.
Not all staff had received the training necessary to effectively support all of the people who used the service. The provider confirmed that outstanding training is in the process of being completed.
People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.
People and relatives said staff were kind and caring and treated them well. People were consistently supported by regular staff which helped to maintain continuity.
Staff were supported in their roles and received regular supervision to discuss aspects of their work and share information in a one to one setting. Staff told us they understood their roles and responsibilities and felt the registered manager was approachable.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was not able to fully demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. Positive feedback was received from people using the service and their relatives about staff promoting their dignity and maintaining their independence. However, the provider had ineffective systems and processes and could not ensure people were receiving care in line with their care needs.
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 27/03/2020 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We have identified breaches in relation to safe care and treatment, consent to care and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will request an action plan for 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.