A North London domiciliary care provider has been placed into special measures after being rated ‘Inadequate’ by the Care Quality Commission (CQC).
Focus Learning, based in Haringey, was inspected in February after being rated ‘Requires Improvement’ in 2019.
But the CQC was forced to lower the rating of the service following the latest inspection, after having identified multiple breaches in relation to safe care and treatment, staffing, need for consent, assessing people’s needs, complaints and good governance.
The provider had also failed to notify the CQC of a death of a person who had used the service, telling inspectors, “I didn’t know I had to tell you.”
The CQC noted in its report that service users at risk of falls did not have appropriate risk assessments to help reduce the likelihood of falls.
In addition, people requiring two carers were at risk of harm because only one carer had been attending some of the calls.
Inspectors also found that the manager had not completed any recent training relevant to their role to show they had the knowledge to provide safe and effective support to people.
The manager understood the importance of offering people choices, the CQC said, but they had not demonstrated they had obtained proper consent before providing care.
The CQC will keep the service under review and, if it does not cancel the provider’s registration, it will re-inspect within six months to check for significant improvements.
Neil Cox, acting head of Inspection for Adult Social Care in London, said: “We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.
“We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so. We have identified breaches in relation to safe care and treatment, staffing, need for consent, assessing people’s needs, complaints, good governance and notification of death of a service user. We will closely monitor the service to ensure improvements are made quickly and will take further action should the improvements not be made.”