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The assessment took place on 17 December 2024. We brought forward this assessment due to concerns that had been raised around the safe delivery of care for people. Prudent Domiciliary Care Limited provides care to people in their own homes. At the previous Assessment in July 2024, we found people were not being protected from the risk of abuse and neglect. We found on this assessment improvements had been made. We found 3 repeated breaches of the legal regulations in relation to staffing, safe care and treatment and governance. Staff understood the risks associated with people’s care however the guidance in people’s risk assessment was not sufficiently detailed. There was a lack of accident and incident analysis however staff dealt with incidents in a safe way. The timings around when people’s calls were to take place were not consistent. However, there were no missed calls which was an improvement since the last assessment. There were more audits taking place however it was not always clear what actions had been taken as a result of the shortfalls identified. This service has been in Special Measures since September 2024. The provider demonstrated improvements that have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
npm run etl:reports -- --location 1-14501394394.Date of assessment 15 to 25 July 2024. We found breaches of the legal regulations in relation to staffing, safeguarding, safe care and treatment and good governance. People did not always receive care as planned. There were significant and multiple delays in care visits, visits shorter than planned and staff rosters were not always planned to provide staff with travel time and breaks when working long days. This negatively affected people’s experience of care and put them at risk of avoidable harm and their needs being neglected. People told us the lateness affected their day to day lives and sometimes meant staff did not have an opportunity to provide their care when it was most needed. The provider recently recognised issues with planning and delivery of the care visits but actions taken to address those shortfalls were not completed at the time of the assessment which meant people remained at risk. Staff did not always follow good infection prevention and control practice and provider’s processes for safe management of medicines which put people at risk of avoidable harm. The governance systems used in the service did not enable the provider to have a good oversight of the quality and safety of people’s care and to address the improvement needs effectively. 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 user our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.
npm run etl:reports -- --location 1-14501394394.Prudent Domiciliary Care Limited (PBG) received a Good rating across all five key questions at its first inspection in February 2023, with 20 people receiving personal care. The service demonstrated strong safeguarding practices, personalised care planning, effective governance and a positive, open culture supported by an approachable provider.