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Simply Care Partners Liability Partnership LLP Good

Reports


Inspection carried out on 3 July 2019

During a routine inspection

About the service

Simply Care Partners Liability Partnership LLP is a domiciliary care agency that provides personal care to people living in their own houses and flats in the community. CQC only inspects the service being received by people provided with ‘personal care’, that is help with tasks related to personal hygiene and eating. Where they do this, we also take into account any wider social care provided. At the time of our inspection there was one person using the service.

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

The quality and safety of the service had improved for people since our last inspection. The provider had made changes to their recruitment and selection processes to reduce the risk of people being supported by unsuitable staff.

The provider had also reviewed and updated their medicines policy and procedures to make sure this reflected current best practice. This meant clear and accurate records were now being maintained in relation to people’s medicines. Our checks of the records of the person using the service indicated they received their medicines as prescribed.

The provider had improved their quality monitoring systems so that audits and checks now covered those areas of the service where we previously found gaps and shortfalls. This helped reduce the risk of the issues we found reoccurring.

The person using the service received support that had been planned and agreed with them. Their choices for how support was provided were respected and staff delivered this in line with their wishes. There were enough staff to meet the person’s needs. Staff knew the person well and understood their needs and how these should be met. Staff received relevant training and the provider made sure they were clear about their duties and responsibilities when providing care and support.

Staff were encouraged to treat the person with respect, maintain their dignity and privacy and to encourage their independence wherever possible, especially when being supported with their care needs. They made sure the person was able to do activities that interested them. The person was supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The person was supported to eat and drink enough to meet their needs. Records maintained by staff helped keep others involved in the person’s care, informed and up to date about the support provided to the person. Staff demonstrated a good understanding of the person’s healthcare needs and how they should be supported with these in a timely and appropriate way.

Staff were trained to safeguard people from abuse and to report any concerns they had to the appropriate person and agencies. Staff knew how to manage and minimise identified risks to the person’s safety and wellbeing. They followed good practice when providing personal care and when preparing and handling food which reduced hygiene risks.

The provider encouraged the person using the service and staff to have their say about how the service could improve. They had arrangements in place to make sure any events, incidents and complaints were investigated which included keeping people involved and informed of the outcome. Learning from investigations was shared with staff to help them improve the quality and safety of the support they provided.

Since our last inspection the provider had undertaken a review of the service and had made the decision to reduce the number of people they delivered care to. They had no immediate plans to take on new packages of personal care for people living in their own homes. However, if in the future they planned to take on new packages, they would make sure an appropriate staffing complement would be put in place to ensure care and support could be provided safely.

At the time of this inspection the provider and the local authority were working

Inspection carried out on 19 June 2018

During a routine inspection

This inspection took place on 19 June 2018. The last Care Quality Commission (CQC) comprehensive inspection of the service was carried out in February 2017. At that inspection we gave the service an overall rating of ‘good’.

Simply Care Partners Liability Partnership LLP is a domiciliary care agency. It provides personal care to people living in their own home. At the time of our inspection twenty people were using the service. Not everyone using the service receives the regulated activity. CQC only inspects the service being received by people provided with ‘personal care’, that is help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided.

At this inspection we found some aspects of the service had deteriorated resulting in the overall rating for the service changing from ‘good’ to ‘requires improvement.’ The provider’s recruitment arrangements had not been robustly maintained. The provider had not queried discrepancies or sought additional assurances about the information provided by new staff in support of their applications to work. This meant the provider did not have all the assurances they needed about staff’s suitability to support people.

Staff supported people to take their prescribed medicines. Staff maintained written records each time medicines were administered. We noted this did not reflect current best practice issued by the National Institute for Clinical Excellence (NICE) to ensure a clear and accurate record was always maintained. The registered manager told us they would review their current medicines policy and procedure to ensure this reflected best practice.

The provider’s systems for assessing and monitoring the quality of the service had not been entirely effective. The issues we identified above around staff recruitment checks and compliance with current best practice in relation to medicines indicated a lack of management oversight of these aspects of the service which could have an impact on the quality and safety of the support people received. The registered manager said they would be taking immediate action after this inspection to rectify the issues we found. The provider wrote to us after the inspection to advise they had updated the written record staff were required to complete so that this reflected current best practice

Notwithstanding the issues above we found checks of other aspects of the service were regularly undertaken to review quality and safety in these areas. These included checks of people’s records, ‘medicines observations checks’ to review staff’s competency in this area and unannounced spot checks to people’s homes to observe staff’s general working practices when undertaking their duties. Where any gaps or shortfalls were identified through these checks prompt action was taken to remedy these including supporting and encouraging staff to learn from mistakes.

There were enough staff to meet people’s needs. People and their relatives were satisfied with the continuity, consistency and timeliness of support they received from staff during weekdays. However, they had mixed experiences about the support provided by staff at weekends. The provider was already aware of these concerns and had used their learning from people’s complaints to make required improvements. Feedback obtained by the provider from recent quality checks indicated that timeliness of visits appeared to have improved which was confirmed by a relative we spoke with. We will check at the next inspection of the service whether this improvement had been sustained and maintained.

People said they were safe when being supported by staff. Staff were well supported to take appropriate action to ensure people were protected if they suspected they were at risk of abuse. Staff had access to current information and guidance on how to minimise identified risks to people due to their specific needs. This helped to keep people safe from injury or har

Inspection carried out on 28 February 2017

During a routine inspection

Simply Care Partners provides personal care services to people in their own homes. At the time of our inspection ten people were receiving care from this service.

At the last inspection in December 2014, the service was rated Good.

At this inspection we found the service remained Good.

People said they were happy with the service provided and that staff helped them with the care and support they needed.

There were processes in place to help make sure people were protected from the risk of abuse and staff were aware of safeguarding vulnerable adult’s procedures and understood how to safeguard the people they supported. People’s individual risk was assessed to help keep them safe and staff had a good knowledge of this.

People and their relatives thought staff were caring and respectful. Staff knew the people they were supporting and provided a personalised service for them. Staff explained how they helped maintain people’s privacy and dignity.

The staff we spoke with told us they enjoyed their job and felt supported by the registered manager. Staff were up to date with training and the service followed appropriate recruitment practices.

People’s records were kept up to date and covered all aspects of the care and identified the support people needed so staff could meet their needs. Records were updated and regularly reviewed when people’s circumstances or healthcare needs changed.

People were asked about their food and drink choices and staff assisted them with their meals when required. People were supported to take their medicine when they needed it.

The manager regularly spoke with people to make sure they were happy with the service and carried out spot checks to review the quality of the care provided.

Inspection carried out on 15 December 2014

During a routine inspection

This inspection took place on 15 December and was announced. We told the provider two days before our visit that we would be coming.

Simply Care Partners provides personal care services to people in their own homes. At the time of our inspection four people were receiving care from this service. At our last inspection in June 2013 the service was meeting the regulations inspected.

The service had a registered manager in post. 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.

People and their relatives told us they felt safe and that staff treated them well. There were processes in place to help make sure people were protected from the risk of abuse and staff were aware of safeguarding vulnerable adult’s procedures and understood how to safeguard the people they supported.

Staff were up to date with training and the service followed appropriate recruitment practices.

People were involved in making decisions about their care, treatment and support and people’s care records reflected this. People’s individual risk was assessed to help keep them safe. Care records and risk assessments were regularly reviewed. Staff supported people to attend appointments and liaised with their GP and other healthcare professionals to help meet their health needs.

People were asked about their food and drink choices and staff assisted them with their meals when required. People were supported to take their medicine when they needed it.

People and their relatives thought staff were caring and respectful. Staff knew the people they were supporting and provided a personalised service for them. Staff explained the methods they used to help maintain people’s privacy and dignity.

Relatives we spoke to said they would complain if they needed to, they all knew who the manager was and felt comfortable speaking with her about any problems.

The manager regularly spoke with people to make sure they were happy with the service and carried out spot checks to review the quality of the care provided.