About the service:

•Time2B Ageing Gracefully Ltd is a domiciliary care agency.

•It provides a personal care support service to people with a mental health condition, an eating disorder, learning disabilities, autistic spectrum disorder, dementia, physical disability, sensory impairment, people who misuse drugs and alcohol, older people and younger adults in their own homes.

•At the time of the inspection, it was providing personal care support to four people.

•For more details, please see the full report which is on the CQC website at www.cqc.org.uk

People’s experience of using this service:

•Risks to people’s health, care and mobility needs were not always appropriately assessed and mitigated. Risk assessments were not appropriately completed which put people at risk of potential harm.

•There were gaps in staff recruitment checks and we could not be assured if they were safe to work with people who were vulnerable.

•The provider lacked systems to ensure the safe management of medicines.

•People were not always supported by staff who were appropriately trained. Staff were not provided with regular supervision to do their job effectively.

•The provider lacked robust and effective systems and processes to ensure the quality and safety of service.

•Not all people's care plans were person-centred.

•People and relatives told us they felt safe with staff and found them reliable. Staff knew how to safeguard people against harm and abuse. They were provided with sufficient personal protective equipment to prevent the spread of infection.

•People’s needs were assessed before they started receiving care and they told us their needs were met.

•People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

•People and relatives told us staff were caring and treated them with dignity and respect. They were involved in the care planning process and reviews. People's independence was encouraged and maintained.

•People and relatives knew how to raise concerns and they told us they the service was responsive.

•People and relatives told us they were happy with the service and the provider was approachable.

•Staff told us they felt supported and were involved in continuously learning and improving care.

Rating at last inspection:

•The service was registered by CQC on 7 March 2018. This is the service’s first inspection since its registration.

Why we inspected:

•This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

•This is the first time this service has been rated Requires Improvement.

Enforcement:

•We identified four breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 around safe care and treatment, staffing, fit and proper persons employed, and good governance. Details of action we have asked the provider to take can be found at the end of this report. We made recommendations in our inspection report, which we will follow up at our next inspection.

•You can see what action we told the provider to take at the back of the full version of the report.

Follow up:

•We will work with the provider following this report being published to understand and monitor how they will make changes to ensure the service improves their rating to at least Good.