We (Always) Care Under One Roof Limited

⚠ Recruitment procedures were not always safe and staff files reviewed were not complete. DBS (Disclosure and Barring Service) checks were not always carried out and in place before staff commenced working with people using the service. The provider had not ensured a risk assessment was carried out where DBS disclosure …

⚠ Prior to the inspection we received concerns that calls requiring two staff were being attended by only one staff as there were not enough staff available. Staffing numbers meant family members were often relied upon to support staff during visits and this was observed by the inspection team on three …

⚠ People's individual risks had not been assessed and there was no risk management plan in place to direct staff with the guidance needed to ensure the care provided was safe. For example, when people experienced swallowing difficulties or required repositioning after eating or drinking and with regard to the use …

⚠ During the inspection we found the provider had not ensured staff had received appropriate induction, training or support by way of regular supervision sessions. There were no induction records for the staff files reviewed and the provider was unable to provide any when requested. The provider had successfully completed a …

⚠ Systems to assess and monitor the quality of the service were not established or operated effectively to have identified and addressed the concerns noted during this inspection. This included the lack of: COVID-19 testing; safe recruitment procedures; staff training, induction and supervision and shortfalls in care plans and/or risk assessments. …