Updated 3 May 2024
EVOLVE Supporting Prospects provides homecare support and live-in care for people living in the Borough of Bury. The service currently supports 54 people. The assessment began on 3 June 2024 and concluded on 27 June 2024. The inspection was prompted in part by notification of an incident following which a person using the service died. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk of choking. This inspection examined those risks. We looked at 14 quality statements; Safeguarding; Involving people to manage risks; Safe and effective staffing; Management of people’s medicines, Independence, choice and control, Kind and compassionate care, Assessment and Person-centred care and areas of Management, Governance and continuous Learning and Improvement. We found five breaches of the legal regulations; safe care and treatment, good governance, staffing and fit and proper person. Appropriate assessments to guide staff in areas of risk needed expanding upon, including arrangements for people’s prescribed medicines. Safe recruitment procedures were not in place and further staff training and support was needed to enhance their knowledge and skills. Governance systems needed to be implemented and embedded to demonstrate clear management and oversight of the service. However, people were supported to have choice and control and gave positive feedback on the staff and the care and support they received. We have asked the provider for an action plan in response to the concerns found at this assessment. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.