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Date of assessment 20 February to 13 March. Starmedi Healthcare Ltd is a service which is registered to support people with the regulated activity ‘personal care’ in their own homes. The service was supporting 3 people with a regulated activity at the time of the assessment. Staff were recruited safely and had completed a variety of training relevant to people’s needs. There were systems to ensure people could safely move between services. People’s care plans were detailed and contained key information about their needs, wishes and backgrounds. The service had assessed individual risks and there were plans in place to mitigate these. People received their care visits on time and staff stayed for the planned duration. The service was flexible, promoted continuity of care, and enabled access to other services where needed. However, there was no system to ensure there was managerial oversight of accidents, incidents and near misses. This meant the manager was not always aware of incidents which occurred at the service, and there was not always clear or effective action taken to reduce the risk of reoccurrence. Medicines were not always managed safely. Staff completed a stock check of the medicines people took; however, we identified 3 discrepancies in these stock counts over a 3-month period. The service’s audits had not identified these. Additionally, one person was taking a high-risk medicine, and the provider had not assessed the risks relating to this.
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