IMPACT

“Date of assessment: 25 September to 5 November 2024. IMPACT is a domiciliary care service providing personal care to people living in their own homes. Not everyone who used the service received personal care. CQC only inspects where people receive a regulated activity of personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. Nine people were receiving personal care. Risks to people had not been effectively assessed or managed. The provider was unable to demonstrate how they ensured learning from safeguarding concerns, accidents and incidents, as there were no records of these. There was very limited information available to demonstrate how staff and management worked with external professionals. Some staff lacked understanding in relation to their safeguarding and whistleblowing responsibilities. Staff training did not always reflect people’s needs. Improvements were needed in relation to the safe management of people’s medicines. People’s rights under the Mental Capacity Act (MCA) 2005 were not fully or consistently promoted. People were not always treated with dignity. The provider’s governance and quality assurance systems and processes were not sufficiently robust. The provider assessed any risks associated with people’s individual home environments, and staff took steps to protect people from the risk of infections. Staff had trust in management and felt their voice was heard. We found 3 breaches of the legal regulations in relation to consent, safe care and treatment and good governance. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded.”