10 January 2023
During a routine inspection
Forever Caring is a domiciliary care agency which provides support and personal care to people living in their own home. The service provides support to older adults who may be living with dementia. Not everyone who used the service received personal care. CQC only inspects where people receive personal care, which is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection there were 10 people using the service.
People’s experience of using this service and what we found
People's electronic medicine administration records were not always accurate and medicines weren't always administered as prescribed. People with specific conditions were not always supported by staff who had received training or had their competencies assessed.
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 in the service did not support this practice.
People's care plans were not person centred and did not always provide consistent and clear guidance for staff to meet people's needs.
Systems to check the quality of the service were not in place to identify concerns we found at this inspection. For example, they failed to identify medicine recording errors or the lack of mental capacity assessments.
People were supported by staff they described as 'kind' and 'caring'. People were supported to remain independent and their privacy and dignity was promoted. People felt able to raise concerns.
People were supported to receive care at times they preferred by regular staff. People did not feel rushed and told us staff knew them well.
People felt able to give their feedback on the service and knew who the provider was.
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 16 November 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 and Recommendations
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 safe care and treatment, need for consent, good governance, person centred care and staffing at this inspection.
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.