Carefocal Ltd

About the service: Care focal is a domiciliary care agency which provides care to people in their own homes. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection 27 people were receiving personal care.

People's experience of using this service: Risks were not always identified or updated, and risk management plans were not in place to manage these risks. People's medicines were not always safely managed. People who had a 'Do Not Attempt Resuscitation' form (DNAR) in place, did not have information in their care plans about where in their home this could be located. The provider's recruitment process was not robust, and staff were not always recruited in line with the recruitment policy. Assessments were carried out prior to people joining the service but they did not always ensure that people's needs could be met and were not used to develop care plans. People and/or their relatives were not involved in planning their care and support and care plans were not always updated. People's capacity to consent to their care and support was not documented. People who had a lasting power of attorney did not have these details recorded in their care plans. The provider's quality assurance systems were not effective. Feedback was sought from people about the service, but the provider did not always act upon shortfalls identified.