Background to this inspection
Updated
3 July 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: One 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: We gave the service 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 20 May 2019 and ended on 21 May 2019. We visited the office location on 20 May 2019.
What we did;
Before inspection:
¿ Our inspection was informed by evidence we already held about the service. We also checked for feedback we received from members of the public and local authorities. We also checked records held by Companies House.
During inspection:
¿ We spoke with one person who used the service and three relatives.
¿ We spoke with the four carers, the care supervisor, the care co-ordinator and the training co-ordinator. We looked at three people’s care records and other records that related to people’s care such as medication records, audits and other records about the management of the service and two staff recruitment files.
Updated
3 July 2019
About the service: SunCare is a domiciliary care service. At the time of the inspection 20 people aged 65 who may have a learning disability, dementia, physical, mental or sensory impairment were receiving personal care. The service can support up to 40 people. Not everyone who used 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.
Why we inspected: This was a scheduled inspection based on the previous rating.
People’s experience of using this service:
People continued to tell us they felt safe and well supported. Staff had a good understanding of how they protected people from harm and recognised different types of abuse and how to report it. Potential risks to people had been identified and people had been involved with decisions in how to reduce the risk of harm. There were enough staff on shifts to keep people safe and meet their needs. People’s medicines were managed and stored in a safe way. Safe practice was carried out to reduce the risk of infection.
People’s care continued to be assessed and reviewed with the person involved throughout. People were supported to have a healthy balanced diet and were given food they enjoyed. People were 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 support this practice. Staff worked with external healthcare professionals and followed their guidance and advice about how to support people following best practice.
Staff treated people as individuals and respected the choices they made. People’s care was delivered in line with their preferences, with any changes in care being communicated clearly to the staff team. Staff supported people with their end of life care. People had access to information about how to raise a complaint.
The registered manager and management team were approachable and effective. The checks the registered manager made to ensure the service was meeting people’s needs focused upon people’s views and experiences.
Rating at last inspection: At the last inspection in November 2016 the service was rated Good.
Follow up: We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.