Background to this inspection
Updated
25 October 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
This inspection was carried out by two inspectors.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 26 September 2022 and ended on 30 September 2022. We visited the location’s office on 22 September 2022.
What we did before the inspection
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed information we held about the service, including statutory notifications. We used all this information to plan our inspection.
During the inspection
We spoke with the registered manager and a care worker. We reviewed four people’s care records, five staff files and other documents in relation to the running of the service. Following the inspection we received feedback from two people using the service, three relatives and six care staff.
Updated
25 October 2022
About the service
Surecare Richmond and Kingston is a domiciliary care agency providing personal care to people in their own homes. The service provides support to older people and those with dementia. At the time of our inspection there were 24 people using the service; including one with learning disabilities.
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.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support: People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse.
People lived safely and free from unwarranted restrictions because the service assessed, monitored and managed safety well. Staff recruitment and induction training processes promoted safety. People received support from staff to make their own decisions about medicines wherever possible. Preferences were identified and appropriate staff were available to support people.
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.
Right Care: Updated training and refresher courses helped staff continuously apply best practice. People received support to eat and drink enough to maintain a balanced diet. People were referred to health care professionals to support their wellbeing and help them to live healthy lives. People received kind and compassionate care from staff. People were enabled to make choices for themselves and staff ensured they had the information they needed.
Right Culture: Management were visible in the service, approachable and took a genuine interest in what people, staff, family, advocates and other professionals had to say. Governance processes were effective and helped to hold staff to account, keep people safe, protect people’s rights and provide good quality care and support
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 14 February 2019)
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding.
Recommendations
We have made a recommendation in relation to the management of records.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.