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Care Services

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Islington - London, The Busworks, North Road, London.

Islington - London in The Busworks, North Road, London is a Homecare agencies specialising in the provision of services relating to caring for adults over 65 yrs, caring for adults under 65 yrs, dementia, learning disabilities, mental health conditions, personal care, physical disabilities and sensory impairments. The last inspection date here was 11th February 2020

Islington - London is managed by Mrs Kalliopi-Popi Galani.

Contact Details:

    Address:
      Islington - London
      United House
      The Busworks
      North Road
      London
      N7 9DP
      United Kingdom
    Telephone:
      02076071494

Ratings:

For a guide to the ratings, click here.

Safe: Requires Improvement
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Requires Improvement
Overall:

Further Details:

Important Dates:

    Last Inspection 2020-02-11
    Last Published 2018-11-22

Local Authority:

    Islington

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

27th September 2018 - During a routine inspection pdf icon

This inspection was undertaken on 27 September and 1 October 2018 and was announced.

Islington – London (also known as Blue Popies Care and Support Services) is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults as well as people with physical and mental health conditions. At the time of our inspection there were 8 people using the service receiving the regulated activity of personal care.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run. The registered manager was also the owner and had been managing it since it was founded in 2014.

During this inspection we found the service provided good quality support and people’s needs had been met effectively. Staff were appropriately trained and the registered manager had been personally involved in care for each person using the service. We saw examples where care provided by the agency went beyond the usual contractual duties. This was to ensure that people received complete support and to make their life more comfortable.

We also found that some areas of the service required improvement. This was because care and support provided by the service had not been fully meeting the current guidelines and the Health and Social Care Act Regulations. We discussed these shortfalls with the registered manager who was receptive to our feedback.

The registered manager had systems in place to monitor the quality of the service and they maintained them regularly. However, these had not always identified the shortfalls we saw at this inspection.

At our previous inspection in April 2016 we found some issues with the management of risk to the health and wellbeing of people who used the service. At this inspection improvements were noted in how the agency managed individual risks to people. However, further improvements were needed to ensure information about all risks were personalised.

At this inspection we found that the agency had not always managed people’s medicines according to the current guidelines. We could not always say what medicines were prescribed to people and if people had received them as intended by the prescriber. Therefore, there was a risk that people could receive their medicines in unsafe way.

Staff understood their role in safeguarding people and people were protected from harm from others. The registered manager was taking proactive action when they thought people were at risk of harm.

There were further systems in place to ensure people were safe. Accidents and incidents were managed proactively and action was taken to reduce their reoccurrence. There were sufficient staff deployed to ensure people’s needs were met. Safe recruitment procedures protected people from unsuitable staff. Effective infection control measures used by staff protected people from avoidable infection.

Staff had appropriate skills and training to meet people’s needs. The registered manager had provided ongoing formal supervision and informal support to ensure staff cared for people in an effective and safe way.

Staff helped people to have a nutritious diet that met their health needs and preferences. People had access to healthcare professionals when their needs had changed or their health had suddenly deteriorated.

The agency worked within the principles of the Mental Capacity Act 2005. People had been asked for their consent before staff provided any care to them.

People using the service thought staff who visited them were kind and caring. People said they felt respected when receiving personal care. Staff encouraged people to be as independent as they could and

28th April 2016 - During a routine inspection pdf icon

This inspection took place on 28 April 2016. We gave the provider two days’ notice that we would be visiting their head office. We gave the provider notice as we wanted to make sure the registered manager was available on the day of our inspection.

Islington – London (also known as Blue Popies Care and Support Services) provides support and personal care to people living at home. At the time of our inspection there were 30 people using the service. Of those, there were 15 people receiving support with personal care. The provision of personal care is regulated by the Care Quality Commission.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

The agency was not always ensuring that risks to people had been appropriately mitigated. This was in relation to infection control and a clinical task that had been transferred to the agency staff from healthcare professionals.

Staff could explain how they would recognise and report abuse and they understood their responsibilities in keeping people safe.

People told us they were well treated by the staff and felt safe and trusted them.

People who used the service and their relatives were positive about the staff and told us they had confidence in their abilities and staff told us that they were provided with training in the areas they needed in order to support people effectively.

Staff understood that it was not right to make choices for people when they could make choices for themselves and people’s ability around decision making, preferences and choices were recorded in their care plans and followed by staff.

People told us they were happy with the support they received with eating and drinking and staff were aware of people’s dietary requirements and preferences.

People confirmed that they were involved in the planning of their care and support. Care plans included the views of people using the service and their relatives. Relatives told us they were kept up to date about any changes by staff at the office.

People and their relatives told us that the management and staff were quick to respond to any changes in their needs and care plans reflected how people were supported to receive care and treatment in accordance with their current needs and preferences.

People told us they had no complaints about the service but said they felt able to raise any concerns without worry.

The agency had a number of quality monitoring systems including surveys for people using the service and their relatives. People we spoke with confirmed that they were asked about the quality of the service and had made comments about this. They felt the service took their views into account in order to improve service delivery.

We identified a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This breach was in relation to safe care and treatment. You can see what action we told the provider to take at the back of the full version of the report.

22nd May 2014 - During a routine inspection pdf icon

A single Inspector carried out this inspection. The focus of the inspection was to answer five key questions: is the service safe, effective, caring, responsive and well-led?

Below is a summary of what we found. The summary describes what people using the service, their relatives and staff told us, what we observed and the records we looked at.

Is the service safe?

People who use the service and their relatives told us they felt safe when working with staff. One person told us "[My care worker] always knows exactly what to do. I can get myself in a pickle sometimes as I can't walk and rely on staff to move me around but they know what to do and always help me. I feel safer with them about". Each person who used the service had a number of risk assessments relating to their support and their homes.

Staff were thoroughly vetted before they started work, and the provider ensured that each staff member had the appropriate training to perform their role safely. Staff told us they were provided with accurate, comprehensive information about each person and their support before starting to work with them. One staff member said "The care plans are very good, I always have enough information to support the client safely".

Is the service effective?

Care plans we viewed were clearly linked to the person's assessed support needs, and we saw that the provider took extra steps to meet people's needs when necessary. People who used the service and their relatives told us they greatly valued the support they received. One relative said "My relative is totally reliant on the care workers as they can't move without support. The care is a godsend and they are wonderful people, they look after my relative very well". Another relative commented during a quality assurance visit that "The two support workers are very caring, patient and have lots of understanding of my relative's needs and always give them time and space when they are anxious or frustrated. They are very good support workers".

Is the service caring?

One person who used the service told us "I can be very maddening and frustrating, because I am maddened and frustrated by the fact that I can't walk. My care workers are so understanding, even when I am at my most maddening. I have to be taken everywhere and they look after me so well". Another person told us "They help me with absolutely everything, not just washing and going to the toilet. They help me with my money, with shopping and cleaning, going to the doctor and to hospital appointments - they've changed my life".

Is the service responsive?

Staff and people who used the service were asked regularly for their views about the service provided and any changes needed to support people safely, and we saw that these were taken seriously and acted upon. One person who used the service told us "I don't have any cause to complain. If I had any issues I would phone the manager straight away and I know it would be sorted out".

Is the service well-led?

The provider had a comprehensive quality assurance system in place. Spot checks were carried out regularly, and accident and incidents were investigated with learning and outcomes for the service noted. Staff told us they were well-supported by the managers, and records indicated that the managers worked alongside care workers when necessary and to ensure they properly understood the needs of the people who used the service.

 

 

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