Saxbridge Care Ltd

Updated 29 November 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

The inspection team consisted of an inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. The registered manager was also the provider’s nominated individual, this meant they were legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of this inspection there was a registered manager in post.

Notice of inspection

This inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because it is a small service where the management also provide care calls and we needed to be sure that they would be in the office to support the inspection.

Inspection activity started on 28 October 2022 when we visited the office. Telephone calls were made offsite to relatives and staff. Inspection activity ended when we had a face-to-face meeting via Teams with management on 10 November 2022 to give feedback.

What we did before the inspection

We reviewed our systems and information we held about the service. 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 took this into account when we inspected the service and made judgements in this report.

During the inspection

People who used the service were unable to speak with us. We received feedback from two relatives about their experience of Saxbridge Care Ltd.

We spoke with the registered manager who was also the provider’s nominated individual, the training manager, a member of care staff and received electronic feedback from another member of staff.

We reviewed a range of records which included risk assessments, medication records for two people and two staff recruitment records. We also viewed some of the provider’s policies and procedures, training data, quality assurance records, management monitoring and oversight records.

Updated 29 November 2022

Saxbridge Care Ltd is a small domiciliary care service providing care to people in their own homes. CQC only inspects where people receive a regulated activity of personal care. This is help with tasks related to personal hygiene and eating.

Where they do receive personal care, we also consider any wider social care provided. At the time of inspection there were six people who used the service of which three people received personal care.

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

We were not able to speak with the people who used the service but received feedback from relatives. All were complimentary about their experience with Saxbridge Care Ltd and would recommend the service. One relative told us, “This agency has been excellent, the staff are kind, understanding, so accommodating; nothing is too much trouble.”

The management and staff worked in partnership with people, relatives and other professionals to achieve person-centred care and good outcomes for people.

Risks to people had been assessed and were managed safely. People were supported by a staff team who were safely recruited and knew how to protect them from potential harm. Whilst staff were up to date with their eLearning training, we have made a recommendation regarding practical training for moving and handling.

The management and staff worked in partnership with people, relatives and other professionals to achieve person-centred care and good outcomes for people.

Staff felt supported and valued in their role by the management team and there were enough staff to meet people’s needs. People received their care visits at the times they expected, for the length of time agreed, and from staff they knew.

People received their medication as prescribed, and staff adhered to infection prevention and control procedures in line with legislative requirements and recognised best practice guidelines.

People's care records were re-assessed regularly and guided staff on how to assist people safely and encourage their independence.

People's communication needs were detailed in their care plans. Care plans also detailed people's preferences of support, for example, gender of staff. Staff understood equality and diversity and ensured people's privacy and dignity was respected.

Staff understood the importance of gaining consent from 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.

People and relatives felt able to raise any issues with the staff and management team and were confident these would be addressed.

Systems to monitor the quality and safety of the service were in place.

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

Rating at last inspection

The service was registered with us on 13 August 2021, and this is the first inspection.

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.