Ignition Care Limited provides personal care and support to people who require assistance in their own home. This service is a domiciliary care agency. At the time of our inspection 1 person was being supported by the service. 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. We carried out our on-site inspection on 28 April 2025, offsite activity started on 29 April 2025 and ended on 7 May 2025. The inspection was completed to follow up on the last inspection to check if improvements had been made. We found the service had made improvements and are no longer in breach of regulations. The registered manager now had systems in place to monitor the service, which provided good oversight to monitor and improve outcomes for people. Medicines were now managed safely and employment checks were robust. This assessment was announced.
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Ignition Care Ltd, a small domiciliary care provider, was rated Requires Improvement overall on its first inspection, with breaches of Regulations 12, 17 and 19 identified relating to unsafe medicines management, ineffective governance and incomplete pre-employment recruitment checks. People and relatives gave consistently positive feedback about caring, attentive staff, and no evidence of harm to people was found.
Concerns (7)
criticalMedication management: “There were gaps identified on the MAR chart. The registered manager was unable to clarify why there were gaps.”
criticalGovernance: “Systems and processes to monitor, audit and improve the overall quality of the service were not robust enough.”
criticalStaff competency: “DBS certificates for 3 members of staff were received after they started work. There was no evidence to demonstrate the DBS update service had been accessed.”
moderateRecord keeping: “People's medicines records were not always collected in a timely manner from people's homes. This meant the management team were not able to review them.”
moderateStaff training: “Evidence of a formal induction on staff files was incomplete, lacked detail and comprised of 1 day of training.”
minorCare planning: “People's care records were personalised but incomplete and contained limited information. No information was available about people's life history.”
minorEnd-of-life care: “There was limited information in the support plans we reviewed relating to people's end of life wishes.”
Strengths
· Staff described as extremely kind, caring and always going above and beyond by relatives, with no missed or late visits reported.
· Appropriate staffing levels were in place to meet people's needs.
· People were safeguarded from the risk of abuse and staff understood how to raise concerns.
· Staff were up to date with mandatory training and medication competency assessments were completed for all staff administering medication.
· Comprehensive, personalised assessments and support plans carried out before people began using the service.
Quality-Statement breakdown (21)
safe: Staffing and recruitmentRequires improvement
safe: Using medicines safelyRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Staff support: induction, training, skills and experienceRequires improvement
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportRequires improvement
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Continuous learning and improving care; Working in partnership with othersGood