Phemacare Ltd

There continued to be a lack of provider oversight which meant risks to people's safety had not been responded to appropriately. Systems to monitor the quality and safety of the service were ineffective and placed people at the risk of harm. The systems in place had failed to identify the areas for improvement found at this inspection including the safe administration of medication and care planning.

Care plans were not in place for known health conditions for all people, to enable staff to have the information they needed to mitigate risk and meet or respond to their needs. People we spoke to said they felt safe , and individual staff were kind and caring. Staff we spoke to told us they had received some training to meet people's needs. However, we saw from records that staff still had not completed training on all of the health conditions of people using the service, to give them the knowledge and skills to support them safely. This was identified at the last inspection.

Medication administration records (MAR) did not always include the current list of medications prescribed for people using the service. This meant care staff did not have accurate records to refer to, ensuring they were giving the correct medication at the correct time.

Spot checks of staff visits in people's homes were completed to monitor that people received the support they needed.

Audits need to be improved to provide clear and robust information and evidence of outcomes for people. Systems and process which were in place were not robust to protect people from potential harm.