Premium Home Care Services Limited

Medicines were not always managed to protect people from the risks associated with them. There was a lack of guidance for the safe administration of medicines, lack of oversight and best practice was not always followed. This resulted in a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can find more details of our concerns in the evidence category findings below. Care records did not always ensure staff had the guidance to support people with their individual risks and health needs. Systems and processes to ensure learning opportunities were not effective. People were supported by staff who understood their roles and responsibilities in order to protect people from abuse and the risk of avoidable harm. The provider ensured infection prevention and control processes were in place and staff followed these accordingly.

Staff worked collaboratively with external teams and services. However, care records did not always contain the most up to date information reflective of guidance provided by health and social care professionals.

The provider had not established and operated effective systems and procedures to assess and monitor the safety and quality of the service. During our assessment of this key question, we found concerns around the lack of provider audits, oversight and leadership of the service which resulted in a breach of Regulation 17 Good governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can find more details of our concerns in the evidence category findings below. There had been several changes in management, and this had impacted the service. Processes and procedures were ineffective in ensuring continuous learning, innovation, and improvement within the service. The provider lacked effective systems and processes that supported partnership working to collaborate for improvement. There was an open and positive culture within the service where most staff felt valued and respected. The provider had policies in place to support workforce diversity, well-being and flexible working.