Evolving Care Ltd Crewe

People's experience of the service and what we found We received feedback from people and families about requested changes to times that could not be fulfilled and reports of staff being late, frequent breakdown of staff vehicles and staff changes without informing the person or the family member. People told us that they felt safe whilst receiving care and many were complimentary about the standard of care.

Risks to people's health, safety and well-being were not effectively managed after incidents. The management of people's medicines remained unsafe. Medicine records and risk assessments were not effectively managed or updated. We were not assured that annual medication competencies for staff and senior staff were effectively managed.

Safeguarding notifications were not always made to CQC. This was corroborated with the local authority and our notifications system.

Staff were not always recruited safely. We were not assured that the quality of the induction training as well as the training courses content was effective. Training compliance information was observed and staff feedback on the process and experience differed.

Rotas were not suitably maintained. We found on two consecutive visits that the rota's were not complete for the following week, and this was corroborated by staff.

We received feedback from people and families about requested changes to times that could not be fulfilled and reports of staff being late, frequent breakdown of staff vehicles and staff changes without informing the person or the family member.

People told us that they felt safe whilst receiving care and many were complimentary about the standard of care.

We saw there had been improvements in the quality systems and auditing processes from the last inspection, the service had made improvements to monitor the care system that staff use daily from the office and on an on-call/out of hours basis, as well as auditing the system and analysing service data periodically with an action plan to complete.

Right Support, Right Care and Right Culture:

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence, and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there was people using the service who have a learning disability and or who are autistic.

Right Support People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. Risk assessments and care plans had been developed to meet people's needs.

People were supported to access healthcare and other specialist services. Staff worked closely with other professionals and organisations to ensure positive outcomes were achieved for people.

Right Care People received a caring service and a consistent team of staff to ensure consistency and continuity. Staff protected and respected people's privacy and dignity, understanding and responding to their individual needs. People could communicate with staff because staff supported them consistently People had opportunities to participate in activities they were interested in as well as regular contact with family members and friends.

Right Culture People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the care and support plan in the service supported this practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk