Elegant Excellency Health and Social Care Services Ltd

Elegant Excellency Health and Social Care Services Ltd is a domiciliary care agency providing personal care to people living in their own homes. The agency worked with younger adults and older people who may have dementia and/or physical disabilities. At the time of our inspection there were 14 people using the service.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People and relatives told us they were happy with the care provided by the service and felt it was responsive to their care and support needs.

Despite the positive feedback from people and relatives, we found significant concerns. People's personal risks were not always assessed. Where risks were assessed, this was inconsistent. Risk assessment documents did not always provide adequate guidance to staff. Staff recruitment was not robust and appropriate background checks and information was not always sought. People's care plans were inconsistent and were not always person centred. Medicines were not always well managed and appropriate recording mechanisms were not in place. Auditing systems failed to identify the issues found during this inspection.