20 October 2022
During an inspection looking at part of the service
Accommodating Care (Driffield) is a domiciliary care agency providing personal care to 16 people at the time of inspection. Not everyone who used the service received personal care. The Care Quality Commission (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
Quality Monitoring systems were not effective and failed to identify the shortfalls found at inspection. Records relating to the management of the service lacked detail and did not effectively monitor the service. Quality assurance records did not always contain accurate information or identify actions to make required improvements or learn lessons.
Risks to the health and safety of people were not always identified, monitored and mitigated. This included risks associated with individual health conditions and catheter care. Medicines were not managed safely, and recruitment was not robust.
People felt safe. Staff understood their responsibilities to report any safeguarding concerns. People and relatives spoke positively about the kind nature of the staff team. Staff knew people well and treated them with kindness, compassion and in line with their preferences.
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 8 February 2020) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection the provider remained in breach of regulations. The service remains rated requires improvement.
This service has been rated requires improvement for the last four consecutive inspections.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We carried out an unannounced comprehensive inspection of this service on 28 November 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve good governance of the service.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe and well-led, which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained requires improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Accommodating Care (Driffield) on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified breaches in relation to safe care and treatment , safeguarding and management oversight at this inspection. Please see the action we have told the provider to take at the end of this report.
We have made a recommendation about the recruitment of staff.
Since the last inspection we recognised that the provider had failed to ensure good governance. This was a breach of regulation and we issued a warning notice to the provider.
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.