Kemfa Services Limited

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We did not look at all quality statements for Effective at this assessment. The service was not always effective. This rating uses some scores from the previous assessment. Assessments were not always sufficiently detailed to enable effective, good quality care planning. This included failure to carry out pre assessments before starting to deliver care.

This service scored 58 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People’s assessments were not always sufficiently detailed to enable effective, safe, good quality care planning. This put people at risk of their needs not being met. For example, we found a person’s care plan lacked sufficient information around their catheter care needs. The care plan did not detail signs of infection, blockages or what staff should do if they have concerns. We also identified a lack of detail in a person’s care plan for support required to safely manage their stoma.

The provider had processes for new referrals however sometimes started new care packages without a full assessment of needs, care plan or risk assessments in place. The registered manager told us this was sometimes a result of being under pressure to start a care package quickly. The registered manager said, “When this happens a senior carer will be the first to provide support and will assess people’s needs during the first visits and build a care plan from their knowledge and experience during the visits.”

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We received mixed feedback from people in relation to their involvement in planning and reviewing their care and support. Some people told us they were involved in reviewing their care and were happy. Other people told us the provider had not consistently followed their care plan. For example, not arriving at the correct call times.

Care plan reviews were undertaken to identify where improvements could be made. However, the provider’s processes for monitoring and improving people’s outcomes was not always robust. The provider did not sufficiently monitor or manage the risks associated with people’s care calls being too far between or too close together. This negatively impacted on people’s nutrition and hydration needs as well as medicine administration times.

The provider did not always complete mental capacity assessments when they were needed. The registered manager acknowledged the lack of mental capacity assessments and said this was something they plan to address. Staff were aware of people’s rights to refuse care and treatment and said they would respect the person’s wishes. The provider supported a wide range of people within the community, most of whom have capacity to inform their care and treatment.