You are here

The provider of this service has requested a review of one or more of the ratings.

Reports


Inspection carried out on 28 September 2017

During a routine inspection

The inspection took place on 27 and 28 September 2017. Surround Care provides assistance to people who require support with daily tasks and personal care in their own homes. The service was supporting about 170 people when the inspection took place.

There was a registered manager in place. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We found five breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.

Some people did not have robust risk assessments, which identified and explored all the risks which they faced. Staff recruitment checks were not fully completed to ensure staff were suitable to work in the care sector.

There was a lack of systems to prompt office staff about how to consistently and routinely respond to accidents and incidents involving people who used the service. There was a lack of recording systems in place to evidence action taken when this happened.

Staff received regular training and an induction to their roles when they started working at Surround Care. However, the methods used to check staff’s competency following staff’s induction and during their time at the service were not robust. Staff were not always provided with training specific to people’s needs.

People were supported by staff to make choices with their daily care needs. However, the service did not assess if people had capacity to make certain decisions. Staff were not trained about the Mental Capacity Act 2005. People had not fully given their consent to share information to other agencies.

Staff were kind towards people. However, some staff did not engage with people or treat them and their homes in a respectful way.

People’s care assessments were centred on them as individuals. However, people’s reviews did not demonstrate that people had been fully involved and asked about their views of the care they received, in a meaningful way.

The provider and manager were not completing audits to assess the quality of the care provided, and putting plans in place to make timely improvements. Quality audits which did take place were not being checked by the manager. There was a lack of systems in place to ensure the service was monitored in a meaningful way. We found issues with elements of the governance of the service which the manager and provider were not aware of until we inspected Surround Care.

People were protected from experiencing harm and abuse by staff who were knowledgeable about how to do this. Staff were aware of the potential signs of abuse. The service had systems in place for staff to respond to concerns.