SureCare Mid Surrey

Updated 11 July 2023

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 was completed by 1 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.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 6 April 2023 and ended on 17 April 2023. We visited the location’s office on 6 April 2023.

What we did before the inspection

We reviewed information we had received about the service since registration. We sought feedback from 1 person and 1 relative who used 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 used all this information to plan our inspection.

During the inspection

The registered manager was the only member of staff working for the service. We spoke with the registered manager and reviewed 2 care plans, a number of records relating to medicines, policies and procedures, training compliance and various quality assurance documents. We spoke to 2 relatives and 1 person who received a service.

Updated 11 July 2023

About the service

Surecare Mid Surrey is a domiciliary care agency providing personal care to people in their own homes. At the time of the inspection 4 people were using the service, 2 of those using the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

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

Improvements were required in how staff supported people with medicines. Medicine records meant incidents could not always be identified immediately. Incidents and accidents which had been identified had been recorded and responded to appropriately. The registered manager was aware of improvements to be made and had an action plan in place to respond to the risk. People and relatives felt the service was keeping people safe.

Where there was reason to believe someone might not have the mental capacity to make decisions, assessments were not always clear and decision specific. Decisions had been made with people’s legal representatives in their best interests but these were not always formally documented. People told us they were involved and felt they were able to have choice and control in their decision making.

The registered manager provided all care to the people but the quality of their care was not monitored or supervised. The registered manager lacked support and time constraints resulted in an impact on making improvements. They were prioritising recruitment to address this.

People told us they felt safe and that their needs and preferences were understood and supported by the service. People and relatives felt involved. People felt respected and encouraged to be as independent as possible. The registered manager worked with other professionals and relatives to support people’s health needs.

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

Rating at last inspection

This service was registered with us on 11 February 2022 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.