Eleanor Nursing and Social Care Ltd - Oxford Office

The inspection has been undertaken of a specialist service that is registered for use by autistic people or people with a learning disability. At the time of the inspection, the service was not used by anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

The inspection was carried out remotely and conducted in response to safety concerns received about the service. We found 3 breaches of regulations relating to safe care and treatment, consent, and governance.

Governance systems were ineffective, and they failed to identify, monitor and mitigate risks to people’s safety and welfare. Risks assessments were not in place to guide staff on how to safely support people. Safe medicine practices were not promoted and were not in line with best practice or the providers medicine management policy. The service was not working to the principles of the Mental Capacity Act 2005 which failed to safeguard people. Records were contradictory, inaccurate, incomplete with poor grammar and some terminology recorded was not in line with best practice.

Staff were suitably recruited, and systems were in place to supervise and monitor staff. Staff felt suitably trained although the provider had not identified that staff involved in assessments of people, including completion of risk assessments and supervision of staff were not trained or deemed competent for the roles in line with the providers policies.

Whilst people and their relatives gave mixed feedback on the timing and continuity of calls, systems were in place to ensure staff were suitably deployed to meet people’s needs and agreed package of care.

The provider was proactive in response to our feedback, and they took immediate actions to address the findings, to safeguard people.

We have asked the provider for an action plan in response to the findings and to enable us to monitor progress within the service.