Date of Assessment: 29 July 2025 to 12 August 2025. The service is a small homecare agency providing support to people, including those with a physical disability, sensory impairment or living with dementia. Not everyone supported by the service received the regulated activity of personal care, with some people assisted with cleaning or social visits only. At the time of our assessment, there were 21 people receiving personal care. The service was previously in breach of the legal regulation in relation to making statutory notifications to the CQC about events that happened such as safeguarding referrals or injuries. Improvements were found at this assessment and the service was no longer in breach of this regulation. Leaders investigated incidents and safeguarding concerns. Whilst some risk assessments required more detail, staff understood and managed risks as they had specialist training to meet people’s needs. Staff were regular, reliable and punctual. Minor improvements were needed to medicine records. People received an assessment, and care delivered was based on evidence and good practice. People had enough to eat and drink in line with their preferences. Staff worked with other agencies to support good outcomes. Capacity and consent were considered, but further action was required to develop capacity assessments. Staff treated people with kindness and compassion, respecting their privacy and dignity. The staff team responded quickly to meet people’s needs, including if people became anxious or needed some additional support. Staff wellbeing was promoted by the management team. People were involved in decisions about their care. The service was responsive and easily contactable. Management was visible and approachable, helping staff develop in their roles. There were plans to grow the service. Some systems and processes needed enhancing and formalising, to ensure the service could be scaled up.
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E2K Care received a focused inspection covering Safe and Well-led following concerns that statutory safeguarding notifications had not been submitted to CQC, resulting in a confirmed breach of Regulation 18 and an overall rating downgrade to Requires Improvement. Outside this regulatory failing, the service demonstrated strong person-centred care, safe medicines management, adequate staffing, and a responsive management team that acted promptly on inspection feedback.
Concerns (3)
criticalSafeguarding: “these safeguarding notifications had not also been submitted to the CQC as required. The provider acted straight away during the inspection in response to our feedback.”
criticalGovernance: “Statutory notifications were not submitted to the CQC without delay. This was a breach of Regulation 18 Care Quality Commission (Registration) Regulations 2009.”
moderateRecord keeping: “not all information was consistently filed in one place, which meant there were some missing employment checks which had not been identified.”
Strengths
· People felt safe and described kind, compassionate staff who consistently met their needs
· Risk assessments were in place covering mobility, skin integrity, continence care and fire safety
· Medicines administered safely and recorded on a real-time electronic system with staff competency assessments in place
· Sufficient staffing levels with visits planned and delivered consistently, including proactive communication about late arrivals
· Safe infection prevention and control measures employed, including adequate PPE
Quality-Statement breakdown (10)
safe: Staffing and recruitmentRequires improvement
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongRequires improvement
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Continuous learning and improving care; duty of candourGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staffGood