Anco Care Services Limited

An assessment 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 assessment, 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.

This assessment was undertaken to follow up on concerns found at the last inspection which led to an overall rating of Inadequate being awarded. At the last assessment we reviewed all the quality statements in the key questions of Safe and Well-Led. However, we could not review all the evidence categories under each quality statement due to there being insufficient evidence available. The scores for the areas we were able to assess were combined with scores based on the rating from the last inspection, which was Inadequate. Though the assessment indicated areas of improvement since the last inspection, our rating for the key questions remained Inadequate.

This assessment was comprehensive covering all the quality statements, we found the improvements seen at the last assessment had been sustained and the service has been rated Good overall. The registered manager had robust oversight of key areas such as care documentation, recruitment and people’s care calls. There were appropriate systems to monitor the service, to provide a clear oversight of risk and to improve outcomes for people. The registered manager ensured consistent staff attended care calls at the time they were expected, people were kept informed of any necessary changes to their call times. Staff had appropriate knowledge and skills to undertake their job roles and felt listened to and supported by the registered manager. The registered manager and staff understood their duty and roles in safeguarding people from the risk of harm or abuse. Staff followed infection prevention and control procedures. People’s dietary needs were well supported. Medicines were not always safely managed, the registered manager took action to make improvements where required. There had not been any safeguarding concerns, accidents or incidents, transitions between services or equipment/environment concerns to test out some of these processes. However, clear systems were in place to manage such incidents, and the registered manager and staff were able to explain how these would be deployed in practice. This service has been in Special Measures since 5 May 2023. The provider demonstrated improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.