Optimum Care Ltd

This inspection was carried out to follow up on the previous CQC inspection and breaches of regulation. The provider was previously in breach of the legal regulation in relation to safeguarding; safe care and treatment; good governance and notifications of incidents providers are legally obliged to notify us of. Improvements were found at this inspection and the provider was no longer in breach of these regulations. There was no registered manager in place during this inspection, but the manager of the service had applied to the CQC to become the registered manager.

The provider had learnt lessons from the previous inspection, and we found the provider and leadership team had made the improvements required. People’s care plans and risk assessments contained more detailed and person-centred information. This guided staff on how to monitor people’s known risk and support them safely and effectively. Staff completed training and had spot checks to review their competencies to deliver safe care and support. Staff had training to embed their understanding of the importance of raising concerns of abuse and or poor care. Staff listened to and respected people’s choices.

People were safely supported by staff with their medicine administration. Staff involved people and their relatives or representative in decisions and reviews of care. People had access to external health care professionals to try to promote their well-being. Staff understood the importance of respecting people’s choice and understood how to obtain consent. Feedback was sought from people and their relatives / representatives on the care provided. The leadership team supported their staff team to have a good work life balance and staff told us they enjoyed working at the service. Improvements had been made to the quality monitoring of the service and the provider and leadership team had a better oversight of the care provided.