23 February 2023
During an inspection looking at part of the service
Laniwyn Care Services Limited is a domiciliary care service that provides care and support to adults and children living in their own homes. At the time of our inspection there were seventeen people using the service. 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.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People's experience of using this service and what we found
Right Support: People were supported to take their medicines as prescribed. Medicine management procedures in place supported safe medicine administration. 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. There were enough staff to meet people's needs, however people did not always receive their care as planned. Safe recruitment practices were followed.
Right Care: People were supported by kind staff; however further training was required for staff to fully understand their needs. People told us they felt safe using the service. Staff understood how to protect people from harm and how to raise concerns. The registered manager understood their role and responsibilities in relation to safeguarding people. Care plans were in place however these required further detail to be person centred and risk assessments relating to people’s support required further development. People were treated with dignity and respect however a greater understanding of people’s needs through training would enable staff to better understand people and encourage them to learn new skills and participate in activities they enjoyed.
Right Culture: Systems and processes to ensure management oversight were not always effective. Records were not always accurate and did not always contain sufficient details. The registered manager implemented changes immediately after the inspection. Feedback was sought from relatives and staff who told us the registered manager demonstrated an open and transparent approach. Staff enjoyed working at the service and felt supported in their roles. The registered manager and staff worked with external professionals to drive improvement and learn lessons.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 04 April 2020).
Why we inspected
We received concerns in relation to risk management, staffing, safe care, and management oversight of the service. As a result, we undertook a focused inspection to review the key questions of safe and well led only.
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 changed from good to requires improvement based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Laniwyn Care Services Limited on our website at www.cqc.org.uk.
Enforcement
We have identified a breach in relation to good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
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 follow up in a couple of months and request evidence of actions taken. 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.
This was an ‘inspection using remote technology’. This means we did not visit the office location and instead used technology such as electronic file sharing to gather information and phone calls to engage with people using the service as part of this performance review and assessment.