9 March 2023
During a routine inspection
Medinova Healthcare Limited is a domiciliary care agency which provides care and support for people in their home. At the time of the inspection the service was providing support with personal care for 3 people, of which 2 were receiving the regulated activity of personal care. 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.
People’s experience of using this service and what we found
The provider had not always developed risk management plans to provide care workers with guidance on mitigating identified risks. Medicines were not always managed appropriately to follow best practice.
Care workers had not completed the training identified as mandatory by the provider to ensure their skills were up to date. People were not always 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; the policies and systems in the service did not always support this practice.
Care plans were not written in a person-centred manner which identified the person’s wishes in relation to how they wanted their care provided. The provider had a quality assurance system, but it was not robust enough to identify where there were issues and improvements were required so these could be addressed.
The provider had a safe recruitment process in place. Relatives felt their family member was safe when they received care in their own home. Care plans identified if people required support to prepare meals. Relatives confirmed they had been involved in the development of their family member’s care plan.
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 2 March 2022 and this is the first inspection.
Why we inspected
The inspection was conducted based on the date of registration.
Enforcement and Recommendations
We have identified breaches in relation to person centred care, need for consent, safe care and treatment, good governance and staffing. 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 to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.