Carinyo Care Ltd

This was the service’s first inspection since registration.

The provider failed to meet key regulatory requirements, including not escalating a safeguarding concern about a care worker’s conduct to the local authority and not submitting a statutory notification of alleged abuse to the Commission. Governance systems were ineffective, missing serious issues such as unsafe recruitment, poor medicines management, and failures in reporting duties.

Staff recruitment was unsafe, with unexplained employment gaps, missing or unverified references, and no evidence of risk assessment. Medicines were not administered at consistent or clinically appropriate times, placing at least one person at risk of ineffective treatment. Competency assessments for medicines and moving and handling were completed by individuals without the required training or qualifications, undermining their reliability.

The provider was not operating from its registered location, and governance arrangements did not align with the Statement of Purpose. The provider’s website inaccurately advertised nursing services, despite not being registered to provide nursing care. Staff reported feeling unable to raise concerns with senior leaders and feared repercussions related to pay and sponsorship. Some staff worked long hours for low pay, and the provider’s sponsorship licence had been revoked, creating further anxiety and instability.

Lone‑working arrangements were poorly managed with check‑ins inconsistently completed and not recorded. Mental capacity assessments were not routinely undertaken.

Although staff said they felt able to raise concerns with the registered manager, no accidents or incidents had been recorded, making it unclear whether events were genuinely rare or simply not documented. Training was mostly e‑learning, with limited practical opportunities to ensure safe practice.

The provider had identified outcomes relating to people’s care and support needs whish demonstrated how care was being planned or delivered in a way that promoted people’s wishes and preferences. People were given choice in the gender preference of carers

People and relatives felt safe and able to raise concerns, and feedback was positive. Staff worked with health professionals to support mobility, and the provider had begun paying staff for attending meetings outside working hours. The complaints process was shared with people, and staff had received training in equality and diversity.

We identified 5 breaches of regulations in relation to the providers statement of purpose, safeguarding people from abuse, good governance, staffing and fit and proper persons employed.

Following the inspection, the provider fed back, they had already implemented improvements to the management and oversight of medicines, staff recruitment and training and safeguarding processes.