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Date of inspection 6 May to 29 July 2025 Empyrean Care Group is a domiciliary care agency providing personal care to people in their own homes. At the time of the inspection the service was supporting 1 person. This inspection was to follow up on previous enforcement action we took against the provider at our last inspection. Their last inspection was 20 May 2024 under the name Etiquette Recruitment and Staffing Ltd and at that time we identified 4 breaches of the legal regulations in relation to safe care and treatment, staff training and good governance. We undertook this inspection to check improvements had been made and to confirm they now met legal requirements. Since our last inspection an external management consultancy service had been instructed to provide management support and overhaul their governance systems to improve the safety and quality of the service. Overall, we found improvements had been made by the provider and they were no longer in breach of the regulations. At the time of our inspection, there was no registered manager in post to deal with the day-to-day management of regulated activities. We have requested further information in relation to this matter, to be completed within a specified timeframe for assurance. Staff now delivered support in a person-centred way. Leaders were involved in delivering support to people for some of the week, whilst completing management tasks at other times, they were still being supported by an external consultant to do this. Lessons were identified when things went wrong, as accidents and incidents were reported and analysed. Systems were in place to protect people from the risk of abuse. People were involved in managing their risks, and staff supported people safely. Systems were now in place to monitor people’s clinical needs. Staff and leaders were being supported in their roles by way of ongoing training, supervision, spot checks and meetings. Further work was needed to ensure the practices and systems introduced were used effectively, and more time was needed for these to become fully embedded as the service expanded. This includes ensuring leaders fully understand their responsibilities and ensure any potential risks to people’s safety are always prioritised in a timely way, learnt from, and used to embed good practice.
npm run etl:reports -- --location 1-4297405090.Date of assessment 20 May 2024 to 30 May 2024 Etiquette Recruitment & Staffing Ltd is a domiciliary care agency providing personal care to people in their own homes. At the time of our assessment, 41 people were using the service. This assessment was prompted by concerns raised by partner agencies in relation to medicine management, assessment of risk, staffing, training, and oversight. A decision was made for us to assess and examine those risks. During our assessment we found 4 breaches of regulation relating to safe care and treatment, safeguarding, governance, and staff training. People’s care and support records did not adequately identify or assess risks to people. Safeguarding concerns had not always been reported to the local authority to ensure people were protected from the risk of abuse. Medicines were not managed safely. Not all staff had completed the required training to carry out their role safely. Governance systems and audits were either not in place or ineffective in identifying risk or addressing areas for improvement. 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. We have asked the provider for an action plan in response to some of the concerns found at this assessment.
npm run etl:reports -- --location 1-4297405090.npm run etl:reports -- --location 1-4297405090.