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Archived: Sevacare - Lewisham Requires improvement

This service is now registered at a different address - see new profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 24 November 2015

Sevacare (UK) Limited is a national provider of care and support services to people in their own homes. At the time of our inspection, Sevacare Lewisham provided care to 146 people who lived in the London boroughs of Lewisham, Lambeth, Greenwich, Bexley and Bromley.

The service was last inspected on 12 and 21 January 2015. At that inspection we found five breaches of regulations which related to person centred care, safe care and treatment, staffing, good governance and notification of incidents to CQC.

We asked for improvements to be made in these areas. The provider sent us an improvement plan. You can read the report of this inspection, by selecting the 'all reports' link for this service on our website at www.cqc.org.uk.

At this inspection, we found that the provider had taken action to address the breaches of regulations found. People were receiving visits on time and so their care needs were met as arranged. Care workers received support, training and information to enable them to care properly for people. Management systems to check the quality of care people received had improved. The CQC was informed about incidents as required by regulation.

The service has a 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.

People felt safe and trusted their care workers who were trained and knowledgeable about what to do if they were concerned someone was being harmed.

People received care from staff that had information about their health conditions and knew the actions to take to help them. When appropriate there was contact between care staff and health professionals to ensure important information was passed on to meet people’s health needs.

There were policies and procedures in place about the Mental Capacity Act 2005 and care workers had been trained in its principles. They asked people for consent before providing care.

People found staff caring and helpful. Care workers understood the issues of privacy and dignity and put them into practice when working with people.

People’s views were taken into account when planning care and matching them with care workers who could meet their diverse needs. However their preferences and needs were not always considered in relation to communication with them.

Management systems had improved and there was better monitoring of the quality of care provided to people.

People’s messages and requests were not always responded to by office based staff. At this inspection there were two breaches of regulation. Medicines administration records contained errors which increased the risk that people may not receive their medicines as prescribed. Communication with people did not take into account their preferences and needs.

You can see what action we told the provider to take at the back of the full version of the report.

Inspection areas

Safe

Requires improvement

Updated 24 November 2015

The service was not safe. There were errors on medicine administration records which increased the risk that people may not receive their medicines as prescribed.

People felt safe and trusted their care workers. Care workers were knowledgeable about safeguarding adults from abuse and knew the action to take if they felt people were at risk of harm.

Effective

Good

Updated 24 November 2015

The service was effective. People were cared for by staff who were supported and trained in issues relevant to their needs.

Staff had received training in the principles of the Mental Capacity Act 2005.

Care workers were alert to people’s healthcare needs and carried out healthcare professionals guidance when appropriate and passed information to them when necessary.

Caring

Good

Updated 24 November 2015

The service was caring. People found care workers were kind and helpful. They protected their privacy and dignity.

People who had the same care workers for a long time had built trusting relationships.

Responsive

Requires improvement

Updated 24 November 2015

The service was not responsive. People’s messages and requests were not always responded to by office based staff. People’s communication needs were not adequately taken into account when providing information.

Matching people with care workers took into account their diverse needs.

People knew how to complain and when they did so the matter was investigated.

Well-led

Good

Updated 24 November 2015

The service was well led. Management systems had been strengthened and the management team was larger.

Regular reports were made to the provider so they could assess the quality of the service more effectively. Changes had been made to improve the quality of care people received.