19 December 2023
During an inspection looking at part of the service
About the service
Eunha Healthcare Ltd is a domiciliary care agency supporting people with their personal care needs in Leicestershire. At the time of inspection, 93 people were using 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
Right Support: People were not kept safe from the potential risk of harm. Details of how to reduce risks to people's safety were missing from people's care plans. Enough staff were not employed to meet people's needs.
Timely calls were often not in place to provide people with the personal care they needed. Safe recruitment practices were in not place to ensure only suitable staff worked at the service.
People were not 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; in contradiction to the policies in the service. People where required were not supported with their medicines. Accidents and incidents were not always reviewed to prevent this occurrence.
People and relatives said safe care was provided, with people protected against abuse, neglect and discrimination.
Right Care: Care plans reflected people’s individual needs, though people and their relatives were positive about the care and support provided and were involved in discussions and decisions about care and support. People and relatives were satisfied with the personal care staff provided. They said staff treated people with respect and dignity and staff had a caring and friendly approach to them. They said they had very good relationships with staff.
Right Culture: The registered manager did not understood their responsibilities or worked in an open and transparent way. Systems and practices for oversight and governance of the service were insufficient to monitor the quality and safety of the service provided. The system of auditing had not identified improvements were needed to evidence all issues raised by people and staff had been followed up.
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 the service under the current provider was requires improvement (published 23 November 2022).
Why we inspected
The inspection was prompted in part due to concerns received about medicines management, staffing levels and oversight at the service. A decision was made for us to inspect and examine those risks.
Enforcement
We have identified breaches in relation to safety, staffing, staff training, staff recruitment, governance and provider transparency.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow Up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.