12 October 2022
During a routine inspection
About the service
Eeze Care London provides supported living services to people with a learning disability or autism and people with mental health needs. At the time of our inspection the provider operated 3 of these services, 1 was based in the London Borough of Ealing and 2 in the London Borough of Croydon. 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. Only 2 adults were receiving personal care at the time of our inspection.
People’s experience of using this service and what we found
Right Support
The service did not always support people with their medicines in a way that promoted their safety and independence and achieved the best possible health outcome.
The provider did not always follow appropriate recruitment procedures to ensure only suitable staff were recruited to work at the service.
People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests. The policies and systems at the service did not support this practice.
Staff supported people to maintain their health and access healthcare services.
Staff supported people to take part in activities and pursue their interests in their local area.
Staff communicated with people in ways that met their needs.
Right Care
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity, but some of the language used at the service did not always promote this.
People's support plans did not always reflect their range of needs to promote their wellbeing and enjoyment of life.
Staff knew and understood people and responded to their individual needs.
Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
Right Culture
The provider's monitoring processes were not always effective in helping to ensure people consistently received good quality care and support. We have made a recommendation about the management of shared supported living services.
Staff knew and understood people well and were responsive to their needs.
People and those important to them, including advocates, were involved in planning their care.
The provider had a vision for the service based on a culture of improvement to enhance people's
quality of life.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 8 July 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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 monitor the service and will take further action if needed.
We have identified breaches in relation to support and risk management, medicines support, safe recruitment, promoting mental capacity, record-keeping and governance at this inspection.
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.