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Date of assessment 14 April to the 1 May 2025. Clarity Homecare (Bristol) is a home care service providing personal care to adults in their own home. At the time of the inspection the service was supporting 60 people. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. This was a responsive assessment to review the provider’s actions from our last assessment published in November 2024. At the last assessment we rated the service requires improvement in the safe and well led key questions and overall. There were 4 breaches of regulation in relation to safeguarding, safe care and treatment, fit and proper staff, and good governance. We looked at 6 quality statements; learning culture, safeguarding, involving people to manage risks, safe and effective staffing; medicines optimisation, and good governance. We found improvements had been made and the rating has changed to good. Improvements had been made to ensure people were protected from harm with risk assessments in place that were sufficiently detailed. Systems were in place to record any safeguarding concerns, the actions taken and lessons learnt. Improvements had been made to the medicine management and any gaps in recording were followed up and addressed. People were protected by robust recruitment processes. Staff were receiving regularly training that was monitored, including checks on their competencies relating to medicines and moving and handling. Robust governance systems had been introduced to monitor the quality of the care, service provision and staffing including recruitment and training. This meant the management team had improved oversight of the quality and safety of the service. However, further improvements were needed to ensure staff electronically logged into each visit correctly. On occasions staff were logging into the morning call rather than the evening call. The management team were working with staff to embed these improvements.
npm run etl:reports -- --location 1-9297940739.Date of assessment 25 July to 10 September 2024. Clarity Homecare (Bristol) is a home care service providing personal care to adults in their own home. The service was supporting 92 people at the time of the inspection. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. We looked at 6 quality statements; Safeguarding; Involving people to manage risks; Safe and effective staffing; Medicines optimisation; Learning culture; Good governance. We rated the service requires improvement in the safe and well led key questions and overall. The ratings for other quality statements remain good. We found shortfalls relating to safeguarding. Systems had been created, but the recording of safeguarding issues or actions before this was inconsist. We also found risk assessments were not always sufficiently detailed or up to date and there were errors and gaps regarding medicines. Procedures for recruiting staff were not robust. De incomplete and checks and training were not always completed as required. The management team had identified gaps and were making improvements in all of these areas. Governance and accountability systems were not always effective or embedded. Audits were not completed consistently, and shortfalls were not always identified. CQC had not been notified about some incidents. This is a legal requirement. The provider had identified improvements were needed and were making changes in line with their action plan. We received mixed feedback from people about the staff who supported them. Staff were positive about changes and the support they now received from the management team. There were breaches of the legal regulations in relation to safeguarding, safe care and treatment, fit and proper staff, and good governance. We have asked the provider for an action plan in response to the concerns found at this assessment.
npm run etl:reports -- --location 1-9297940739.npm run etl:reports -- --location 1-9297940739.