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Date of inspection: 05 February to 08 April 2025. This service is a homecare service providing personal care to adults of all ages, people with dementia, mental health conditions, a physical disability and a sensory impairment. At the time of the inspection 9 people were receiving personal care support. This inspection was carried out to follow up on the previous CQC inspection and breaches of regulation. The provider was previously in breach of the legal regulation in relation to safeguarding; safe care and treatment; good governance and notifications of incidents providers are legally obliged to notify us of. Improvements were found at this inspection and the provider was no longer in breach of these regulations. There was no registered manager in place during this inspection, but the manager of the service had applied to the CQC to become the registered manager. The provider had learnt lessons from the previous inspection, and we found the provider and leadership team had made the improvements required. People’s care plans and risk assessments contained more detailed and person-centred information. This guided staff on how to monitor people’s known risk and support them safely and effectively. Staff completed training and had spot checks to review their competencies to deliver safe care and support. Staff had training to embed their understanding of the importance of raising concerns of abuse and or poor care. Staff listened to and respected people’s choices. People were safely supported by staff with their medicine administration. Staff involved people and their relatives or representative in decisions and reviews of care. People had access to external health care professionals to try to promote their well-being. Staff understood the importance of respecting people’s choice and understood how to obtain consent. Feedback was sought from people and their relatives / representatives on the care provided. The leadership team supported their staff team to have a good work life balance and staff told us they enjoyed working at the service. Improvements had been made to the quality monitoring of the service and the provider and leadership team had a better oversight of the care provided.
npm run etl:reports -- --location 1-11908780812Optimum Care (South) Ltd is a domiciliary care agency providing personal care to people in their own homes. The service provides care to older people, those living with dementia and people with physical disabilities. This assessment started on 13 February 2024 and ended on 26 March 2024. We visited the registered office on 6 March 2024. There were 14 people using the service. This assessment was completed in response to concerns received in relation to the management of the service. The registered manager was absent during the course of this assessment. People were happy with the support they received from staff. They told us they felt safe and that they could raise any concerns they may have. Staff told us they felt supported by the management team and reflected on recent improvements to staff morale at the service. However, we found four breaches of regulation in relation to safeguarding, safe care and treatment, governance and notification of incidents to CQC. The provider had failed to ensure the quality of care was monitored. There was no effective system of governance in place and quality assurance systems were not embedded within the service. This meant gaps in risk assessments and inconsistencies in care plans had not been identified. Risks in relation to choking, pressure wound management, management of specific health conditions and medicine administration were not fully assessed. This meant important information was not available to staff supporting people on a daily basis, which could put them at risk of receiving incorrect or inappropriate care. We have asked the provider for an action plan in response to the concerns found at this assessment.
npm run etl:reports -- --location 1-11908780812.Optimum Care (South) Ltd received a Good rating across all five key questions at this first inspection of the newly registered domiciliary care agency. Minor improvements were needed in the detail of care plans, risk assessments, and medicines recording, but no people had come to harm and the service was well-led and person-centred.