15 December 2022
During a routine inspection
Starline 2000 is a domiciliary care agency. It provides personal care to people living in their own homes. At the time of our inspection the service was supporting eight people.
Not everyone who used the service received personal care. In this service, the Care Quality Commission can only inspect the service received by people who get support with personal care. This includes help with tasks related to personal hygiene and eating. Where people receive such support, we also consider any wider social care provided.
People’s experience of using this service and what we found
Risks faced by people were assessed but the registered manager did not always record the correct information to give staff clear guidance to mitigate risks. One person’s medicines had not always been correctly recorded.
People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice.
There were monitoring and auditing systems in place However, these were not always effective. The provider did not always have robust procedures in place for managing the service. The provider did not send in notifications in a timely way. Registered providers must notify us about certain changes, events and incidents that affect their service or people who use the service.
People felt protected from the risk of harm. Staff had access to training which was appropriate to their role. There were safe recruitment practices in place. Staff knew how to report safeguarding concerns. People were assessed prior to care packages starting. People and their relatives had been involved in the care planning process. Relatives told us that people were treated with dignity and respect. They were also positive about the staff, and they told us that staff were kind and caring.
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 26 July 2019)
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 consent and good governance. We made three recommendations to the provider to review their practice to ensure they were assessing risk, administering medicines safely and following their supervision policy.
Please see the action we have told the provider to take at the end of this report.
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.