About the service Aspects Care – Grimsby is a domiciliary care service providing care and support to older people and younger adults, who may be living with a learning disability or autistic spectrum disorder, dementia, mental health needs, or a physical disability. At the time of our inspection, there were four people using the service.
People’s experience of using this service and what we found
The service was not always well-led. The provider's quality assurance systems were not always effective in identifying and addressing issues.
Infection control measures were not effectively implemented. Staff did not consistently follow guidance regarding personal protective equipment (PPE).
Medicine practices were not always in line with best practice guidelines.
Staff were motivated to provide person-centred care based on people's choices and preferences.
Staff knew how to keep people safe from abuse and were confident raising concerns with external agencies.
People were happy with the care they received, they felt safe and well looked after. Staff had been recruited safely.
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.
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 the Care Quality Commission (CQC) to make assessments and judgements about services providing support to people with a learning disability and/or autistic people
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
The model of care and setting maximised people's choice, control and independence. People's dignity, privacy and human rights were promoted. The ethos, values, attitudes and behaviours of care staff ensured people using the service led confident and inclusive lives.
Rating at last inspection
This service was registered with us on 16 October 2019 and this was the first inspection at the new location.
The last rating for the service at the previous premises was requires improvement, published on 17 October 2019.
Why we inspected
This was a planned comprehensive inspection based on when the service was registered.
We found evidence the provider needs to make improvements. You can see what action we have asked the provider to take at the end of this full report.
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 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This includes breaches in relation to infection prevention control, management of medicines and good governance.
Please see the action we told the provider to take at the end of this report.
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.