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Stable Lives Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 April 2020

About the service

Stable Lives is a domiciliary care agency providing personal care to older people in South Yorkshire, Sheffield. Not everyone who used the service received personal care. The Care Quality Commission (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. At the time of the inspection 12 people were receiving support.

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

Quality assurance systems were in place, although these were not always effective. Audit systems and checks were not always identifying areas of development required. People were supported to share their feedback although there was no structured system in place to review feedback, consider suggestions or implement changes that people had highlighted.

There was a complaints policy in place and although people and relatives told us they knew how to make a complaint, processes were not always in place to evidence how complaints were managed. Documentation was not robust enough; records did not contain information about how complaints were responded to.

People received person-centred care, staff were familiar with the people they supported, and positive relationships had developed between Stable Lives staff and people receiving support. End of Life care was not being provided at the time of the inspection, the registered manager agreed that this was an area of responsive care that needed development.

Medication procedures were in place; people received a safe level of support from trained members of staff. Medication audits were regularly completed to assess compliance and staff performance. We identified some minor administrative errors that needed to be reviewed; the registered manager was responsive to our feedback.

People received personal care that was tailored around their individual support needs. People’s level of risk was assessed, and measures were put in place to ensure people received the safe level of care they needed.

Safeguarding and whistleblowing processes were in place. Staff received safeguarding training; they also explained the procedures they would follow if they had any safeguarding concerns.

Staffing levels were monitored and we received feedback to suggest that people received care and support from consistent and punctual members of staff. One relative told us, “They’re [staff] the best team of carers we’ve had.” Stable Lives staff were safely recruited; although we noted that systems needed to be strengthened so that records were more organised and contained all the relevant information.

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 that kind, caring and compassionate support was provided. One person said, “They’re [staff] like family.” People were treated with dignity and respect, were supported to remain as independent as possible and were involved in the care planning process.

We received positive feedback about the management and staff team at Stable Lives. People and relatives told us that they were committed to delivering high-quality, person-centred care.

Rating at last inspection and update

The last rating for this service was ‘good’ (published 2 August 2017). The service has deteriorated to ‘requires improvement’

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We identified a breach of regulation in relation to ‘good governance’. Please see the ‘action we have told the provider to take’ section towards the end of the report.

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

Inspection areas

Safe

Good

Updated 2 April 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 2 April 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 2 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 2 April 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 2 April 2020

The service was not always well-led.

Details are in our well-led findings below.