28 February 2019
During a routine inspection
Salus Dementia Care is a domiciliary care service providing care and support to people living in their own homes. The office is based in Earl Shilton Leicestershire. They support people with a variety of care needs including physical disabilities and dementia. At the time of our inspection there were 69 people using the service.
People’s experience of using this service:
• The provider did not have systems in place to assess and monitor associated risks to people’s care and support.
• Where people had needs that required that they needed support at particular times, the provider could not be assured that the support will be available to them.
• People did not always receive their medicines when they needed. The provider did not have protocols in place to check that people who required support with taking their medicines received this support.
• People's care needs were not always assessed in line with relevant guidance and legislation.
• People did not always receive the support that they needed to meet their nutritional needs.
• Care staff had the skills and experience that they required to support people.
• Care staff were kind and treated people with dignity and respect.
• The care that people received was not tailored to their needs. Their care plans and risks assessments did not reflect their needs. They did not always receive their support in a timely manner.
• People's complaints were not recorded and responded to and resolved satisfactorily.
• The provider had a poor oversight of the service. There was a poor culture of transparency and communication within the service. They did not have a culture of continuous learning and improvement.
• The provider did not have effective systems in place to assure them that people received a good standard of care and that they met their regulatory requirements.
Service did not meet the characteristics of Good in most areas: more information in the full report.
Rating at last inspection: Good; 20 August 2016
Why we inspected: planned inspection based on previous rating.
Action we told provider to take (refer to end of full report)
Follow up: ongoing monitoring; we will continue to monitor this service and respond accordingly. We plan to inspect in line with our re-inspection schedule for those services rated requires improvement.