Eclectic Care Ltd

We found that the service Requires Improvement in relation to the Safe domain.

We identified two breaches of the legal regulation in relation to safe care and treatment and fit and proper persons. People’s medicines had not always been managed safely. The service did not follow their own policies and procedures when administering medicines and inaccurately recorded information relating to medicines management. People's risks were assessed, and staff knew how to mitigate these. However, some risk assessments did not contain enough detailed guidance in all areas to inform staff of how best to keep people safe and meet their needs. Staff had not always been recruited safely; some staff did not have full previous employment history as required. However, there were enough skilled staff to support people for their scheduled care calls.

People were safeguarded from potential abuse. The service had a learning culture which reflected on people’s experience including their safety and tried to improve it.

People felt staff knew their needs and supported them to live healthier lives. Staff understood the principles of the mental capacity act and were able to describe supporting people in line with the principles.

Staff worked well together across the service. We received positive feedback from healthcare professionals about the service’s ability to provide safe and effective care for people.

Staff supported people with dignity and kindness, responding to their needs. People’s individuality was respected, and they were given choice and control over their care and support. Staff felt supported in their roles.

People received person centred care, although their future wishes had not always been sought and documented. People received information in ways that were accessible for them. Their views on the service and their care were sought and acted on. People were supported to have equity in access to care and support they needed to ensure they had equal experience and opportunities in their daily life.

The findings at this assessment show the service is Requires Improvement in relation to the Well-led domain.

We found one breach of the legal regulations in relation to good governance. The service’s governance systems and audits were not always effective in identifying or addressing areas for improvement which we found during this assessment. There were not robust systems in place to ensure all areas of the service were safe, effective and well-managed.

However, feedback from people, relatives, staff and partners was positive about the service and positive about the registered manager. Staff felt there was a good culture at the service and felt able to raise concerns.