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Siete Care Services Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 6 November 2020

About the service

Siete Care Services is a domiciliary care agency (DCA). The service provides personal care services to people in their own homes.

At the time of our inspection nine people received personal care as the regulated activity. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is to help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. The last rating for this service was Good (Report published 17 May 2019).

People's experience of using this service

Medicines were administered safely. However, medicine records were not always accurate and up to date. Staff’s competency to safely administer medicine was regularly checked and recorded.

The registered manager had quality assurance systems in place to monitor the quality and safety of the service. This included monitoring of medicine management. However, these systems were not always effective and did not identify our concerns in relation to medicine records. The registered manager took action to rectify these concerns.

The service had a clear management and staffing structure in place and promoted a positive, caring culture.

People told us they felt safe. Staff had received training to enable them to recognise signs and symptoms of abuse and they felt confident in how to report these types of concerns. People had risk assessments in place to enable them to be as independent as they could be in a safe manner.

There were sufficient staff on duty to support people with their needs and keep them safe. Effective and safe recruitment processes were followed by the provider. Some historical recruitment documents were not fully completed. Following the inspection we were informed action had been taken to update these records.

People were safe from the risk of infection. This included measures introduced by the provider to safeguard people and staff from COVID-19.

We undertook this focused inspection following concerns raised by the local authority. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvement. Please see the Well-Led section of this full report.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Siete Care Services on our website at www.cqc.org.uk.

Inspection areas

Safe

Requires improvement

Updated 6 November 2020

The service was not always safe

Details are in our Safe findings below

Effective

Good

Updated 6 November 2020

Caring

Good

Updated 6 November 2020

Responsive

Good

Updated 6 November 2020

Well-led

Requires improvement

Updated 6 November 2020

The service was not always well-led

Details are in our Well-Led findings below