12 September 2018
During a routine inspection
Leicester had a registered manager, however the person had resigned their position as manager. The registered manager has not submitted an application to cancel their registration with the Care Quality Commission (CQC). The CQC will take the appropriate measures to address this. The current manager of the service has applied to become the registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The registered person is the manager for the service.
This is the first inspection of the service, Leicester since its registration with CQC on 26 January 2018.
The service whilst being inspected has not been rated because at the time of the inspection there was only one person receiving personal care and they had done so for a very short period of time. We therefore had insufficient information to determine the level of care and support received.
We could not be confident that the service currently received would be sustainable should the service expand to provide care for additional people.
A family member spoke positively of the service provided to their relative. They said staff were confident in what they did and were caring and attentive towards their relative.
There was no effective governance of the service; systems to monitor and promote the quality and safety of the service provided were not in place or fully understood. The manager was not aware of any policies and procedures in place. Records were not readily accessible, which meant it was difficult to find out the information to evidence how the service operated.
People could not be confident that the provider had followed safe staff recruitment and induction. We found a lack of information to evidence that all staff had undertaken training in the safe management of people’s medicine, which has the potential to put people at risk.
A family member spoke positively of the service provided to their relative. They said staff were confident in what they did and were caring and attentive towards their relative.
People’s needs were assessed prior to their using the service, the information gathered was used to develop care plans, which contained information as to how the person’s needs were to be met, consistent with their wishes.
Staff spoke positively of the training they had received. Staff told us they had worked alongside the manager for several days in the delivery of the persons care to ensure they received the appropriate care and support.
We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 relating to the governance of the service.
You can see what action we told the provider to take at the back of the full version of the report.