21 April 2022
During a routine inspection
Willatt Care is a home care service registered to provide personal care. People are supported with their personal care needs to enable them to live in their own homes and promote their independence. At the time of the inspection the service supported 14 people. 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
Medicines were not always managed safely. Systems for monitoring medication stocks needed to be improved. Further protocols were required for managing controlled drugs. Audits of medication were not robust enough to monitor quality and safety.
There were insufficient infection prevention control systems in place for ensuring staff had completed twice weekly COVID-19 tests in line with government policy.
Some risks to people were not always mitigated, care plan's did not always contain the most up to date details regarding best practice when supporting people with specific health needs. Policies and procedures, the training matrix and staffing folders were not always up to date and the provider had not notified us of all significant events.
The provider acted quickly and took appropriate action to mitigate these risks. New systems and updates were implemented in a timely manner. These will be reviewed on the next inspection.
Medicines were managed safely by suitably trained staff. People were offered and received pain relief medication. Staff used personal protective equipment (PPE) effectively and had attended infection prevention control training.
People told us they felt safe with the care provided and with the carers supporting them. They said they received care from kind and compassionate staff members. Relatives and staff told us they felt involved in the service and able to express their opinions and make suggestions to improve the care provided. Relatives said the care received was person-centred care and told us how the staff encouraged people to be independent.
People’s needs, choices and preferences were assessed and recorded in detailed care plans. This included people’s dietary needs and requirements. End of life care plans were detailed and included people preferences and wishes. Times of care calls were altered to assist people to maintain relationships with others.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff were recruited safely. There were enough staff to support people safely and people had their calls on time. Staff understood what was meant by abuse and they were confident about how to report poor practice. Staff told us they felt supported by the registered manager and received regular supervisions.
Accident and incident forms were investigated by the management team. Lessons learnt were shared with the staff team.
People and staff told us they had confidence in the registered manager and the management team. The organisation promoted a positive culture and worked in partnership to deliver good outcomes for people.
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 08 October 2020 and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about staffing, training and care practices. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.