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Archived: Shared Care Services Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 12 June 2015

The inspection took place on 15 January and 22 January 2015 and was announced. We gave the service short notice which meant the provider and staff did not know we were coming until shortly before we visited the service. At the last inspection, on 3 December 2013, we found the service met the regulations we inspected.

Shared Care Services Limited provides personal care services to people in their own homes. At the time of this inspection there were 36 people using the service, mainly children and young adults.

People who used the service were protected from the risk of harm or abuse because staff were knowledgeable about the process of safeguarding and whistleblowing. There were sufficient numbers of staff employed to meet people’s needs and provide a flexible service. Risk assessments were done to identify and minimise the risks to people and to staff.

The service completed adequate recruitment checks before staff began working with people. Staff had the knowledge and skills required to support people with their care and support needs. They received regular training and were knowledgeable about their roles and responsibilities. Staff received regular supervisions and appraisals to ensure they continued to provide a good quality service and had the opportunity to develop their skills.

Staff knew the people they were supporting and provided a personalised service. People received consistency and continuity of care because staff worked with them for a long time. Care plans were in place detailing people’s needs and wishes. People consented to the care service provided and staff obtained consent before carrying out care tasks. People were supported to eat or drink or attend healthcare appointments if required.

The service had a system to deal with foreseeable emergencies. People told us the service responded in a timely manner to any queries, requests or concerns. People knew the process of making a complaint. Staff had received equality and diversity training and the service had a policy with guidelines.

At the time of our inspection the provider also acted in the role of the registered manager. 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.

The manager told us they had an “open door policy” and people, relatives and staff told us they could contact the manager at any time if they had concerns. The service had quality assurance systems to ensure they provided good quality care. There was a system to monitor and observe the quality of work the staff provided and the manager obtained verbal and written feedback from people and their families.

Inspection areas

Safe

Good

Updated 12 June 2015

The service was safe and had access to the organisational policy and procedure for protection of children and vulnerable adults from abuse.

Staff knew who to contact and what the procedure was if concerns arose around abuse.

Risk assessments were done to identify risks to people using the service and to the care staff supporting them.

There were sufficient numbers of staff available to keep people safe and the service had a system to cover staff absences.

People were protected from the risks of the spread of infections.

Effective

Good

Updated 12 June 2015

The service was effective.

People were supported by staff who had the knowledge and skills required to meet their needs.

Appropriate recruitment checks were done before people began work. New staff completed an induction period of training before they began to work with people.

Staff received refresher training in the mandatory areas of care every year and this was up to date.

Staff received regular supervisions and appraisals.

People were supported with health needs as required by their care plans.

Caring

Good

Updated 12 June 2015

The service was caring.

People and their representatives were of the view that the manager and staff were very caring.

The service had a privacy and dignity policy and staff were knowledgeable in this area.

A matching process was used to assign staff to families which took into account people’s requests and assessed needs.

Staff worked with people and their families for a long time so that consistency and continuity of care was provided.

The service had a consent policy and care records showed that consent forms had been signed to agree to the service provided.

Responsive

Good

Updated 12 June 2015

The service was responsive.

People had a care plan which reflected their preferences for how care was provided. Care plans were reviewed annually by the service or if a person’s needs changed.

Staff were knowledgeable about how to deal with emergency situations.

There was an on-call system which operated out of hours so that people, their representatives and staff could receive advice or support at any time.

People confirmed that the service responded in a timely manner to any queries, requests or concerns.

There was a complaints policy in place and people were aware of how to complain.

The service had an equality and diversity policy and staff had received up to date training in this area.

Well-led

Good

Updated 12 June 2015

The service was well led and had a registered manager.

People, relatives and staff were confident that they could contact the manager if they had concerns.

The manager participated in a leaders’ network in the borough to obtain new ideas and receive professional support.

There were systems to monitor the work of the staff.

The service has a system of obtaining written and verbal feedback from people and their families on the quality of the service provided.

The service received feedback from the local authority during contract monitoring visits.