Archived: Shebadan Domiciliary Care Service (Sonali Gardens)

Updated 3 December 2016

We undertook an announced focused inspection of Shebadan Domiciliary Care (Sonali Gardens) on 11 November 2016. This inspection was done to check that improvements to meet legal requirements planned by the provider after our inspection on 16 and 20 June 2016 had been made. We inspected the service against three of the five questions we ask about services: is the service effective, is the service responsive and is the service well-led? This is because the service was not meeting some legal requirements.

The inspection was undertaken by a single inspector. During our inspection we spoke with the registered manager, the team leader, deputy team leader and three care workers. We reviewed the care records of six people and audits carried out by managers.

Updated 3 December 2016

We carried out an announced comprehensive inspection of this service on 16 June 2016. Breaches of legal requirements were found regarding consent, person centred care and good governance. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breaches.

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Shebadan Domiciliary Care (Sonali Gardens) on our website at www.cqc.org.uk.

There was a registered manager at the service. A registered manager is a person who has registered with the Care Quality Commission 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.

At our previous inspection we found that the provider was not acting in line with the Mental Capacity Act (2005) by ensuring that people’s capacity was assessed where necessary and that where people lacked capacity staff could demonstrate they were working in people’s best interests. At this inspection, we found that the provider had carried out appropriate assessments of people’s capacity and there were records of best interests discussions. Staff had received training about mental capacity and this helped to ensure they understood their responsibilities under the law.

At our previous inspection we found that care plans did not accurately reflect people’s current care needs and the care that was delivered. At this inspection, we found that care plans had been checked and revised and now accurately reflected the care that people received. Checks were carried out by managers to help ensure that this continued.

At our previous inspection there were not sufficient systems of audit to ensure that high quality care was delivered. At this inspection, we found that managers had carried out audits to ensure the quality of documentation and that people were satisfied with their care. Managers had also implemented an ongoing audit process to help ensure that this improvement continued and was sustained.