3 February 2021
During an inspection looking at part of the service
Gain Healthcare Ltd is a domiciliary care agency registered to provide personal care to people aged 18 and over. 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. At the time of the inspection, only one person was receiving support with personal care.
People’s experience of using this service and what we found
People were not always safe. Risks to individuals were not appropriately assessed and managed.
Medicines were not managed safely.
Safeguarding procedures were not consistently followed.
There were not always enough staff to meet people’s needs.
The provider's quality management systems were not effective and did not identify areas where the service needed to improve. The provider and registered manager did not demonstrate they understood their legal responsibilities.
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 10/08/2020 and this is the first inspection.
Why we inspected
We undertook this targeted inspection to follow up on specific concerns we received about the service including safe management of medicines and lack of training and recruitment processes for new staff. A decision was made for us to inspect and examine those risks.
CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
We have found evidence that the provider needs to make improvements. Please see the Safe and Well Led sections of this full report.
Enforcement: 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 discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We identified breaches of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These were in regulation 12 Safe care and treatment; regulation 17 Good governance and regulation 18 Staffing. We also identified a breach of the Care Quality Commission (Registration) Regulations 2009. This was regulation 12 Statement of Purpose.
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 until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.