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Inspection Summary

Overall summary & rating


Updated 2 March 2018

We undertook this inspection of Sarah Cares on 23 and 24 January 2018. The inspection was announced, which meant that the provider knew we would be visiting. This is because we wanted to ensure that the provider, or someone who could act on their behalf, would be available to support the inspection.

The service was registered to provide a regulated activity with the Care Quality Commission in November 2016. This was the service’s first inspection since registering and had not been previously rated.

Sarah Cares provides personal care and support to older people in their own homes in the Bath area. At the time of our inspection there were 34 people receiving personal care and support from the service.

A registered manager was in post at the time of our inspection. 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 respected and listened to and were complimentary about both the registered manager and the care staff.

People received their visits from a consistent staff team and staff and the management knew people well.

People were cared for safely because staff understood how to keep people safe and when to notify the provider, health professionals or relatives about any concerns.

Staff knew people well and had developed caring relationships. People felt safe with staff and trusted them to deliver the care they needed in a way they preferred.

People were confident that care staff would arrive on time and would be somebody they knew. Everybody using the service knew the registered manager and had confidence in her.

People were supported by staff who had checks carried out prior to starting their employment. This ensured that staff were suitable to work with people in their own homes.

Staff felt supported and received training, supervisions and an annual appraisal to enable them to fulfil their role.

People were supported with the nutrition and hydration and when required staff made referrals when people’s needs changed.

The provider had systems in place to check the quality of the service. They identified any shortfalls and made changes to prevent these happening again. There was a comprehensive monitoring system in place to make sure the agency was meeting the high standards set by the provider.

Inspection areas



Updated 2 March 2018

The service was safe

People were cared for by staff who were trained, experienced and competent. Staff had undergone recruitment checks and underwent spot checks.

Staff knew how to identify and report safeguarding concerns.

People�s medicines were managed safely.

The provider learnt when things went wrong and made improvements to prevent this happening again.



Updated 2 March 2018

The service was effective.

People's needs and choices were assessed before any care was provided.

The provider ensured people had consistent staff who were trained and experienced. People were confident that staff knew how to deliver their care.

Staff understood the Mental Capacity Act (2005) and the provider checked any powers of attorney were legal.



Updated 2 March 2018

The service was caring.

People and their relatives were very complimentary about both the provider and the care staff.

Staff protected people's privacy and dignity and people told us they felt cared for and respected.

People were confident they would be listened to and told us they felt relaxed in the company of staff.



Updated 2 March 2018

The service was responsive.

People using the service had care delivered that met their assessed needs and preferences.

People told us staff made sure care was delivered in the way they preferred.

People told us they knew how to complain but had not needed to. Everybody knew the registered manager and had regular contact with her and was confident they would be listened to.



Updated 2 March 2018

The service was well-led.

The provider had a clear vision of how the service should be provided and ensured the service was delivered in line with this.

Staff morale was high with staff feeling valued and supported.

The provider had systems in place to ensure the agency continued to deliver high quality care.