Background to this inspection
Updated
13 October 2021
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 Care Act 2014.
Inspection team
The inspection was completed 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.
The service had a manager registered with the Care Quality Commission. This means the provider and manager is legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because we needed to be sure that the provider or manager would be in the office to support the inspection.
What we did before the inspection
We sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with the registered manager and nominated individual. We reviewed a range of records. These included two people’s care records. We looked at three staff files in relation to recruitment, supervision and training.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We reviewed documentation provided. We spoke with one person who used the service and one relative. We also spoke with three care workers.
Updated
13 October 2021
About the service
Splendid Care Solutions Ltd is a domiciliary care service, providing personal care to people living in London.
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. On the day of the site visit, two people were receiving the regulated activity of personal care.
People’s experience of using this service and what we found
Risk assessments were not always detailed enough to provide staff with guidance for safe care or implemented effectively to help reduce risks to people. Care plans did not always provide relevant information. We have made a recommendation about care plans.
Medicines was not always managed safely. Medicines administration records were not always clear and concise.
People were not always supported by staff who had been subject to a safe recruitment process.
We were not assured the provider had effective systems and processes in place to ensure the safe running of the service.
One person and a relative told us they felt the service was safe. Staff understood what action to take if they suspected somebody was being harmed or abused. Staff knew how to report accidents and incidents.
The provider ensured there was infection control guidance in place. Staff confirmed they were provided with enough personal protective equipment such as masks and gloves.
People’s healthcare-associated risks were identified and assessed. People’s needs were assessed before they received care from the service. People’s needs were met by staff who were well trained and received regular support and supervision. People’s dietary needs were met.
One person and a relative told us staff were caring and treated their family with respect and dignity. People and their relatives were involved in making decisions regarding their care. People were supported to remain as independent as possible.
People’s cultural and religious needs were respected when planning and delivering care. Discussions with the registered manager and staff showed they respected people’s sexual orientation so that lesbian, gay, bisexual, and transgender people could feel accepted and welcomed in the service. The provider had a complaints procedure in place and people and relatives knew how to make a complaint.
People and the staff supporting them told us the management of the service were supportive. Staff told us they felt well supported by the registered manager.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 19/10/2018 and this is the first rated inspection.
Why we inspected
This was a planned inspection based on the date of registration and when the service had begun to provide care to people.
Enforcement
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 monitor the service to keep people safe and to hold providers to account where it is necessary for us to do so.
We have identified three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to safe care and treatment, safe recruitment of staff and the overall governance of the service.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.