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Supreme Care Services Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 20 December 2018

Supreme Care Services Limited is a domiciliary care agency. It 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 seventy-eight people were using the service.

At our last inspection of the service in May 2016 we rated the service ‘Good’. This inspection took place on 19 November 2018. At this inspection we found the evidence continued to support the rating of ‘Good’. There was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People told us they were safe with staff. Staff had been trained to safeguard people from the risk of abuse and knew how to report any safeguarding concerns about people to the appropriate person and agencies. Staff understood the risks posed to people and followed current guidance about how these should be minimised to keep people safe from injury or harm. Staff followed good practice to ensure risks were minimised from poor hygiene and cleanliness.

There were sufficient numbers of staff to meet people’s needs. The provider made sure, wherever possible, people received support from the same staff to ensure continuity and consistency in the support they received. The provider maintained recruitment and selection processes and carried out appropriate checks to verify staff's suitability to support people.

People’s needs had been assessed to determine the level of support they required, and this was delivered in line with current legislation and standards and current best practice. Staff received relevant training to help them meet people’s needs. They were encouraged to continuously improve their working practices through regular supervision. Staff were aware of their responsibilities in relation to the Mental Capacity Act 2005 (MCA) and supported people in the least restrictive way possible. The policies and systems in the service supported this practice.

People were involved in planning and making decisions about their care and support package. People’s records contained current and detailed information about them and reflected their preferences and choices for how and when they received support. Staff knew people well, understood their needs and how these should be met. People’s care and support needs were reviewed with them to ensure this was continuing to meet their needs.

Staff supported people to eat and drink enough to meet their needs and keep healthy and well. People received their prescribed medicines as required. Staff communicated with others involved in people’s care so that they were well informed about people’s health and wellbeing, particularly if there were concerns about this. The provider worked closely with other healthcare professionals to ensure a joined-up approach to the support people received.

The provider promoted compassionate, respectful and empathetic behaviours within the staff team. They had introduced initiatives to reduce the risk to people, with no immediate family and friends, of becoming socially isolated. Where staff were responsible for this, they supported people to take part in activities or pursue interests that were important to them.

Staff were caring and treated people with dignity and respect. They asked people for their consent before care was provided and ensured people's privacy was maintained when being supported with their care needs. People were encouraged by staff to be as independent as they could be. Staff only took over when people could not manage and complete tasks safely.

People were satisfied with the care and support they received from sta

Inspection areas

Safe

Good

Updated 20 December 2018

The service remains good.

Effective

Good

Updated 20 December 2018

The service remains good.

Caring

Good

Updated 20 December 2018

The service remains good.

Responsive

Good

Updated 20 December 2018

The service remains good.

Well-led

Good

Updated 20 December 2018

The service remains good.