- Homecare service
Generations Care Ltd
We served a warning notice to Generations Care Limited on 23 January 2025 for continued failure to operate, manage and oversee an effective quality assurance system. They failed to meet the regulations related to good governance at Generations Care Limited.
Report from 13 December 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 08 January to 15 January 2025.Generations Care Ltd is a domiciliary care agency which provides personal care to people in their own homes. The service provides support to older people and younger adults with a range of needs. This includes people with physical disabilities. At the time of our inspection the service was providing the regulated activity personal care to approximately 160 people. The last rating for this service was requires improvement (published 25 November 2022), with a breach of regulation. The provider was required to send us an action plan telling us how they would improve and by when. We undertook this assessment to check they had followed their action plan and to confirm they now met legal requirements. At this assessment not enough improvement had been made and the provider remained in breach of regulation 17 (Good Governance). The provider did not always operate effective quality assurance systems and processes to provide effective oversight of the quality and safety of the service. More robust systems needed to be implemented and improved oversight maintained when audits and checks were delegated to staff within the service. The overall rating for the service has remained requires improvement. The service has now been rated requires improvement for the last 4 consecutive inspections. However, some improvements had been made. 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.
People's experience of this service
While the people we spoke to expressed that they were generally happy with their care, our assessment found elements of care did not meet the expected standards. For example, some people’s care calls were cut shorter than the assessed time needed. Most records did not show staff were asked to leave early. However, people felt safe with staff and felt the risks associated with their care was managed well. People and relatives told us staff were caring and sought consent to make sure people felt involved in their care decisions. People and their relatives spoke positively about the service and were confident that any concerns would be responded to promptly and resolved.