Dates of assessment: 29 January to 3 February 2026. The assessment was triggered in response to risk. Kayla Supported Living Ltd is a domiciliary care service that provides personal care and support for people in their own homes. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks relating to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection the service was supporting 2 people with personal care. We identified 5 breaches of regulation relating to person centred care, safe care and treatment, staffing, good governance and fit and proper persons. There was a lack of oversight at the service and quality assurance systems and processes were not in place. People’s care was not person-centred and risks to people were not managed safely. Medicines were not managed safely. There was a failure to identify and monitor the experiences of people using the service. There were no records available to evidence staff had been recruited safely and staff did not receive training or support. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.
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Kayla Supported Living Ltd is a small, newly registered domiciliary care service rated Good overall at its first inspection, with strengths in person-centred, compassionate care and timely staffing. Well-led was rated Requires Improvement due to pre-inspection failures to identify gaps in medicines recording, mental capacity documentation, safeguarding reporting processes, and governance auditing, although the registered manager responded promptly to all findings.
Concerns (6)
moderateMedication management: “The registered manager said they recorded the administration of prescribed creams in the daily care notes. We discussed the need to record this on a topical medication administration record (TMAR).”
moderateConsent / capacity: “The service had not carried out any formal mental capacity assessments, although worked closely with information provided by relatives.”
moderateSafeguarding: “We were not assured the nominated individual fully understood the correct procedure for reporting safeguarding concerns.”
moderateGovernance: “Issues found at this inspection had not been identified by the provider beforehand... the service was not of a sufficient size where audits could reasonably be expected to have been completed.”
moderateRecord keeping: “We identified improvements were needed in the recording of medicines management and mental capacity. The registered manager had not identified these issues before our inspection.”
minorStaff training: “The nominated individual received training in dementia care, but this expired in July 2020.”
Strengths
· Staff always arrived on time, stayed for the full duration of visits, and wore PPE correctly.
· Care records were person-centred and suitably reflected individual needs and preferences.
· Relative feedback was very positive; family felt the person was safe, well-treated and supported to maintain independence.
· Registered manager demonstrated strong awareness of health deterioration signs and communicated effectively with relatives.
· Individual risks had been assessed, monitored and reviewed; moving and handling and falls risk assessments were in place.
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Using medicines safelyRequires improvement
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Ensuring consent to care and treatment in line with law and guidanceRequires improvement
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies; supporting people to live healthier livesGood
effective: Assessing people's needs and choices; delivering care in line with standardsGood
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 controlGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Working in partnership with others; continuous learning and improving careGood
well-led: How the provider understands and acts on the duty of candourGood