CSS Care Ltd

Inspection reports (3)

1. Single Assessment Framework · 2025-03-12

   Framework: SAF · 6 pages · PDF

   Date of assessment: 28 January 2025 to 22 February 2025. The service provided personal care to people living in their own homes. At the time of this assessment 9 people received care. The provider was previously in breach of the legal regulations in relation to safe care and treatment, staffing, recruitment, governance and complaints. Improvements were found at this assessment and the provider was no longer in breach of these regulations. Staff told us they received good support, there was good teamwork and they received the training they needed. Staff understood the safeguarding and whistle blowing process. They felt confident to raise concerns and felt they would be listened to. New staff were recruited safely. The provider undertook regular medicines audits to check people received their medicines correctly. However, only 1 person was currently being supported with medicines. The provider had effective quality assurance (QA) systems, which had been successful in identifying areas for improvement and learning lessons. There had been no incidents and accidents logged since we last assessed the service. There were opportunities for staff to provide feedback. The provider worked with external partners to ensure people received the care they needed. The provider had plans to improve and develop the service moving forward.

   PDF cached but not yet analysed by Claude; set ANTHROPIC_API_KEY and re-run npm run etl:reports -- --location 1-10478669630.
2. Single Assessment Framework · 2024-07-10

   Framework: SAF · 6 pages · PDF

   CSS Care Ltd is a domiciliary care service providing personal care to adults with a range of support needs, in their own homes. 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. The service was providing personal care to 15 people at the time of our inspection. The inspection was prompted in part due to concerns raised around governance and management at the service. We carried out assessment activity between 13 March and 4 April 2024; reviewing elements of the safe, effective, caring, responsive and well-led key questions. We identified 5 breaches of the legal regulations in relation to; safe care and treatment, staffing, recruitment, governance and complaints. Incidents, accidents and complaints were not always reported or recorded meaning we could not be assured appropriate action had been taken. Medication records were poor, and safeguarding concerns were not fully investigated. We noted issues with staff training and supervision; and recruitment processes were not robust, meaning we could not be confident staff were capable or of good character. Information about people’s care needs and risks were not always available for staff to refer to, and sometimes details were inconsistent. There was a lack of regular auditing which meant the safety and quality of care was not effectively monitored. Policies were not being followed. During assessment, concerns with the management structure were identified. As such, the provider implemented immediate changes. The existing nominated individual stepped down and the manager took over this role. A nominated individual is responsible for supervising the management of the service on behalf of the provider. The provider intended to recruit a replacement manager. We have asked the provider for an action plan in response to the concerns found at this inspection.