CARE 24/7 SOLUTIONS LIMITED

Ratings

• Overall

  Requires improvement

• Safe

  Requires improvement

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Requires improvement

Our view of the service

Date of assessment 20 January 2025 to 11 February 2025.



The assessment was carried out to check whether the breaches of regulation issued at our last assessment had been met.

We looked at 15 quality statements in safe and well led.

We found lessons had still not always been learnt to continually identify and embed good practice. The provider still did not always have clear responsibilities, roles, systems of accountability and good governance. They still did not act on the best information about risk, performance and outcomes. This was in relation to care plans, risk assessments, daily notes, incident reporting, medicines, recruitment practices and audits.



However, the provider ensured continuity of care when people moved between services. Staff had the required training, qualifications and worked well to provide safe care that met people’s individual needs. There had now been an improvement on how the risk of infection was assessed and managed. Staff were able to speak up and have their voices heard and there was an inclusive and fair culture for staff.

The provider was previously in breach of the legal regulation relating to safeguarding service users from abuse and improper treatment and notification of other incidents. Improvements were now found at this inspection and the provider was no longer in breach in these areas.

The provider was also previously in breach of 3 legal regulations in relation to safe and care treatment, fit and proper persons employed and good governance. Sufficient improvements were not found at this assessment, and the provider remained in breach of these regulations.

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.

We have also asked the provider for an action plan in response to the concerns relating to safe and care treatment and fit and proper persons employed.

People's experience of this service

Feedback was gathered from people using the service and their relatives off-site. Overall, people were satisfied with the support they received. People told us they felt safe. Where people had raised concerns with management they had been dealt with appropriately. People were happy with the way risks were managed and had access to the equipment they needed to remain safe. People provided positive comments about the staff and their knowledge and skills. One person told us, “[Staff member] is a star, such a lovely person, we are very fond of them, one of the family now, couldn’t do any more, we feel safe and comfortable, very well trained.” Communication with the service provider was reported to be good and people felt they were being kept informed of any changes. Where people needed support to administer their medication, they were happy with the way staff supported them. Some people raised concerns about language barriers, however they also told us this did not impact on them receiving the support needed. Some people also raised concerns about some staff being late for visits but confirmed, when they had raised these concerns with the provider, an improvement had been made. One person told us they had not raised concerns about late visits with the provider and this was shared with the provider during the assessment.