Enterprise Care Support Limited

What inspectors found

From the Care Quality Commission's assessment published 6 August 2024 (assessment visit 2 May 2024). Quoted under the Open Government Licence.

1. Safe

   GGood Good

   Based on the findings of this assessment we found the service remains good. This meant people continued to be safe and protected from avoidable harm.

   However, although people received their prescribed medicines as and when they should, we found concerns in relation to how some medicines records were maintained. We recommend the provider consider recognised best practice on the safe management of medicines and take action to update their medicines recording and monitoring practices accordingly. You can find more details of our concerns in the evidence category findings below.

   The provider had a positive culture of learning lessons when things went wrong. Care plans were based on assessments conducted by the provider and various external health and social care professionals prior to people using the service. People were protected from the risk of harm and abuse. Staff understood their duty to protect people from abuse and knew how and when to report any concerns they had to the registered manager and/or the office based staff. People were cared for and supported by staff who knew how to prevent and appropriately manage risks they might face. People received continuity of care from well-trained and supported staff who were familiar with the individual personal care needs, wishes and daily routines of the people they regularly supported. Staffs suitability and fitness to work as care workers in an adult social care setting had been thoroughly assessed by the provider. Staff followed current best practice guidelines regarding the prevention and control of infection including, those associated with COVID-19.

2. Well-led

   GGood Good

   Based on the findings of this assessment we found the service remains good. This meant the service continued to be consistently well-managed and led.

   However, we did identify some concerns in relation to the providers understanding of their notifiable incident reporting responsibilities and how they operated their governance systems. During this assessment we found the provider had failed to notify us without delay multiple times about the occurrence of some safeguarding incidents and serious injuries involving people using the service. This had placed people at risk of harm and represented a breach of Regulation 18 (Notification of other incidents) of the Health and Social Care Act 2008 (Registration) Regulations 2009.

   We also found the providers established governance systems were not always being operated effectively. This was because they had failed to pick up and/or address a number of issues we identified during this assessment including, failing to always report notifiable incidents to the CQC in a timely manner and maintain accurate medicines records and sufficiently detailed risk management plans. We recommend the provider considers recognised best practice in relation to good governance and take action to update their quality monitoring systems accordingly. You can find more details of our concerns in the evidence category findings below.

   The registered manager and office-based staff had the right levels of skills, knowledge, experience to lead effectively. The provider’s culture was positive, open, and honest, with leadership and management that was clearly identifiable and transparent. People's concerns and complaints were well-managed. The provider recognised the importance of learning lessons when things went wrong. The provider worked collaboratively with most external health and social care agencies and professionals to plan and deliver people’s home care packages.