Background to this inspection
Updated
11 February 2020
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 Care Act 2014.
Inspection team
The inspection was carried out by two inspectors.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Notice of inspection
We gave the service 48 hours’ notice of the inspection visit because we needed to be sure the provider would be available to support the inspection. Inspection activity started on 3 January 2020 and finished on 10 January. We visited the office location on 7 January 2020.
What we did before the inspection
Prior to this inspection we reviewed all the information we held about the service, including data about safeguarding and statutory notifications. Statutory notifications are information about important events which the provider is required to send us by law. We used information the provider sent us in the Provider Information Return. Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We used all of this information to plan our inspection.
During the inspection
As part of our inspection we spoke with three people who received care from Silverjen Limited and four relatives. We also spoke with the provider, reviewed a range of documents about people's care and how the service was managed. We looked at five care plans, three staff files, medication administration records, risk assessments, policies and procedures and internal audits that had been completed.
After the inspection
Following the inspection, we spoke with two staff members. We reviewed additional information requested from the provider including staff training records and further audit information.
Updated
11 February 2020
About the service
Silverjen Limited provides personal care to people in their own homes. 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. The service was providing support to 16 people with personal care needs at the time of our inspection.
People’s experience of using this service and what we found
People said they felt safe with the staff supporting them. Information was available to staff on how to support people to minimise risks to their safety and well-being. Systems were in place to ensure people received their calls at the right time and that staff stayed for the duration of the call. Safe recruitment processes were followed to ensure staff were suitable to work in the service.
People had access to healthcare professionals when required and received their medicines in line with their prescriptions. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People and relatives told us staff treated them with kindness and respected their privacy. People’s needs were assessed and reviewed regularly to ensure their care continued to meet their needs. Staff understood the importance of people maintaining their independence. People’s cultural and religious needs were known to staff and respected.
Any concerns or complaints raised were addressed promptly and monitored to minimise the risk of them happening again. Care plans contained detailed information regarding people’s communication needs. Staff had received training in supporting people at the end of their life and ensured their wishes were recorded.
People, relatives and staff spoke highly of the provider and the values of the service. Regular feedback was requested regarding people’s experience of the care they received and feedback was extremely positive. Regular audits of systems and processes were completed to ensure continuous development.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 28 January 2019). Two breaches of regulations were identified. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
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.