22 August 2022
During a routine inspection
NK Care Limited is a domiciliary care agency providing personal care to people in their own homes. The service provides support to older people, people living with dementia and people with a physical disability. At the time of our inspection the service was providing personal care to eight people.
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
People’s risk assessments did not contain sufficiently detailed guidance to help staff protect them from identified risks.
People’s care plans did not contain records of their consent to receive care and treatment.
The registered manager's systems and processes to monitor quality and safety in the service had not been used effectively to identify and address shortfalls.
The registered manager did not maintain records of staff’s communications and interactions with healthcare professionals to meet people’s needs and support their wellbeing.
There were enough staff to provide individualised care which met people’s preferences. People were protected from the risk of harm or abuse by trained staff who had undergone a robust recruitment process. Medicines were managed safely. People were protected from the risk of acquiring an infection.
People's needs and choices were assessed using evidence-based tools. Staff were given the necessary training to provide person centred care which promoted good outcomes for people. People were supported to maintain a healthy food and fluid intake.
People had caring relationships with staff, who supported them to be independent and protected their dignity.
People were involved in writing their care plans and were encouraged to express their views about care provided. Plans were in place to give people individualised and sensitive support in their last days.
The registered manager was committed to delivering compassionate individualised care which improved people’s quality of life.
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 November 2020 and this is the first inspection.
You can see what action we have asked the provider to take at the end of the full report.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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 monitor the service and will take further action if needed.
We have identified breaches in relation to safe care and treatment, need for consent and good governance .
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.