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Ajustar 24 Care Ltd

Overall: Not rated read more about inspection ratings

The Lansdowne Building, 2 Lansdowne Road, Croydon, Surrey, CR9 2ER (020) 3925 8746

Provided and run by:
Ajustar 24 Care Ltd

All Inspections

During an assessment under our new approach

This service is a domiciliary care agency. It provides personal care to elderly people and people living with learning and physical difficulties in their own houses and flats. At the time of this inspection, it provided care to 19 elderly people. This assessment was undertaken following CQC’s new approach for assessment. This was our first assessment of the service using this new approach. We looked at 3 key question areas (safe, effective and well-led). We carried out an announced visit to the service on 24 September 2024. The assessment was carried out by two inspectors and one assessor.

We visited the offices of this service and spoke with four members of staff, the registered manager who is also the nominated individual and another director of Adjustar 24 Care. We reviewed a range of records. This included seven people's care records, medicines records and four staff files as well as other records relating to how the service was managed. We spoke with 1 person who used the service and 4 relatives of people. The service had a registered manager in post.

At the last inspection in May 2022, we rated this service ‘Good’ in safe, effective, caring and responsive and ‘Requires Improvement’ in well-led. We carried out this inspection because we received concerns from a person who used the service and from the home office that had revoked Adjustar’s licence as part of the Government’s staff sponsorship scheme. Following this responsive assessment, the service has received an overall rating of ‘Inadequate’ for Safe and Well-led and ‘Requires Improvement’ for Effective. We gave the rating as we found 3 breaches of the regulations.

11 May 2022

During a routine inspection

About the service

Ajustar 24 Care Limited is a domiciliary care agency providing personal care to people living in their own homes or flats. The domiciliary care agency is registered to provide a service to people over and under the age of 65 years old, some of whom are living with dementia. The agency also provides 24-hour live-in support.

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, nine people were using the service.

People’s experience of using this service and what we found

The provider’s quality assurance framework failed to consistently identify shortfalls or recognise how improvements could be made. We have made a recommendation for improvement.

People and their relatives spoke highly of the care provided. One relative commented, “The carers are lovely and so friendly. They always put a smile on my loved one’s face.” People felt safe in their home and with the staff who supported them.

People were involved and given choice about their day-to-day care and support. Staff treated people with dignity and respect. People received care that met their individual needs and preferences. People's care plans were reviewed and updated regularly to reflect their current needs. Staff had received training in equality and diversity. Care plans indicated people's religious, cultural beliefs and other protected characteristics.

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 policies and systems in the service supported this practice.

People using the service, their relatives and staff felt able to speak with the registered manager and give feedback about their experiences.

A recruitment process was in place to ensure staff were suitable for their role. Staff had completed an induction and received training which prepared them for their role. Staff skill and knowledge was checked by the registered manager.

People and staff found the registered manager to be approachable and felt confident that if concerns were raised, these would be addressed in a timely manner.

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

Rating at last inspection

This was the first inspection of the service since they were registered with us on 20 January 2021.

Why we inspected

This inspection was prompted by a review of the information we held about this service

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

This was an 'inspection using remote technology'. This means we did not visit the office location and instead used technology such as electronic file sharing to gather information, and video and phone calls to engage with people using the service as part of this performance review and assessment.