29 April 2022
During a routine inspection
About the service: Family Support @ Zone Central is a domiciliary care service which provides personal care to children and young people with learning and/or physical disabilities in their own homes and in the community. At the time of the inspection, one child was receiving support with personal care.
People’s experience of using this service:
Records were not always completed fully and accurately. Risks were not always identified. Detailed risk management plans were not in place in relation to personal care needs, safeguarding, environmental risks, being out in the community, sensory needs and activities to manage these risks. Medicines were not safely managed. Staff recruitment files were not maintained by the provider. Incidents were not analysed and learning from incidents was not shared with staff.
Pre-assessments were not carried out. All staff had not completed children’s safeguarding training or training relevant to the person’s medical needs. There were no records to show that new staff had shadowed a more experienced staff member. Support plans were not detailed or contained contradictory information. Regular reviews of support plans were carried out, but the shortfalls we found were not identified. Staff were not supported through an induction or regular supervisions. The support plan did not have detailed guidance on how the person needed to be supported in relation to nutrition. The provider's quality assurance systems were not effective.
People were protected from the risk of infection. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Rating at last inspection: This service was registered with us on 8 July 2020 and this is their first inspection.
Why we inspected: This was a planned comprehensive inspection.
Enforcement
We will continue to monitor the service. We have identified breaches in relation to safe care and treatment, staffing, and good governance.
We have made a recommendation about involving relatives in decisions about people’s care.
Please see the action we have told the provider to take at the end of this report.
Follow up: We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.