Loading
Also known as: Access Dignity
Date of Assessment: 14 January to 23 January 2025. The service is a care at home service providing support to older people, those living with dementia, people with mental health needs, a physical disability or sensory impairment. The service is also registered to provide care for people with a learning disability and or autistic people, although at the time of assessment the service was not providing anyone with these support needs. The provider had worked extremely hard since the last assessment to develop a positive culture of learning where people and staff could speak up. People were protected and kept safe and safeguarding concerns were investigated thoroughly. People told us there were enough suitably qualified staff to meet their needs. Staff told us they felt supported. Medicines were managed safely and infection control processes had improved. The provider had not recruited any new staff since the previous assessment and told us they had strengthened their processes in preparation for future recruitment. People’s needs were assessed prior to using the service and assessments were always undertaken face to face. The provider had worked with partner agencies to ensure improvements were made and people’s outcomes improved. The provider had improved their knowledge of the Mental Capacity Act, however records related to people’s capacity still required improvement. People and relatives were positive about the staff supporting them and told us they were treated with kindness and respect. Staff had a good understanding of people’s needs. Governance processes had significantly improved since the last assessment. The provider had taken the decision to self-embargo following the previous assessment so they could look at and work towards improving all their systems and processes to improve outcomes for people using their services. They used a whole team approach to both improve the culture of the service and work towards and embed improvement. During this assess
npm run etl:reports -- --location 1-757123836.Access Dignity Care Limited is a domiciliary home care agency providing personal care to people living in their own homes in the community. The service is registered to provide care for older people, those living with dementia, people with mental health needs, a physical disability or sensory impairment. The service is also registered to provide care for people with a learning disability and or autistic people, although at the time of inspection the service was not providing anyone with these support needs with the regulated activity of personal care. At the time we announced our assessment, 68 people were being supported with personal care at the service. We carried out our on-site assessment on 24 January 2024, off site assessment activity started on 18 January 2024 and ended on 14 February 2024. We completed this assessment in response to concerns we had received about the service. We looked at quality statements relating to areas in Safe, Effective, Caring and Responsive. Due to concerns identified during the assessment process, we widened the scope of the assessment to review further quality statements as required, including all of Well-led. We have identified breaches of regulations relating to person centred care, consent, safe care and treatment, safeguarding, governance, and staffing. We also found the provider had not made statutory notifications to the CQC as required by law. We have told the provider they need to make improvements. The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements. If the provider has not made enough improvement within this timeframe. And there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures.
npm run etl:reports -- --location 1-757123836.npm run etl:reports -- --location 1-757123836.npm run etl:reports -- --location 1-757123836.