Caremark (Wakefield)

Caremark (Wakefield) is a domiciliary care agency and provides personal care and support to children, older people and people with a learning disability who require assistance in their own home. At the time of our inspection 59 people were being supported by the service. 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

We found some improvements were needed. The provider had failed to recognise and take action to keep a person safe and staff training in safeguarding had not always been effective.

Systems and processes for care call monitoring were not effective and a few people had experienced missed and late calls.

Quality checks, such as audits and spot checks on staff, were undertaken but were not always effective in identifying where improvements were needed.

Staff were described as having a kind and caring approach and promoted people's independence.

People had individual plans of care and these gave staff information about people. This included how to keep people safe and reduce risks of harm and injury. Some assessments needed additional detail to ensure staff could refer to actions to follow to minimise risks of harm. People received their medicines in a safe way.

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.

Right support: Model of care and setting maximises people's choice, control and independence

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.

Right care: Care is person-centred and promotes people's dignity, privacy and human rights.

Right culture: We found improvement was needed to ensure call times were consistent to ensure support met people’s needs.

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

This service was registered with us on 12 October 2020 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We have found evidence that the provider needs to make improvements and have identified breaches in relation to regulation 17 (Good governance) and regulation 13 (Safeguarding). You can see what 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, which will help inform when we next inspect.