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Sunshine Wisbech Requires improvement

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 February 2019

This announced inspection took place between the 5 and 14 December 2018. At our last inspection we rated the service good. However, at this inspection we found the service had deteriorated to Requires Improvement. This is the first time the service has been rated Requires Improvement.

Sunshine Wisbech is a domiciliary (home care) care agency. It provides personal care to people living in their own houses and flats. It provides a service to younger adults, older people, people living with dementia, people with a physical disability and people with sensory impairments. Not everyone using Sunshine Wisbech receives the regulated activity of personal care. CQC only inspects the service being received by people provided with personal care, help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

At the time of our inspection there were 52 people using the service.

A registered manager was in post. 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.

The service was not always safe. Not all risk assessments relating to the health, safety and welfare of people using the service had been completed. This meant reviews of risks to people were not always responded to in a way which promoted safety and this increased the risk of recurrence, putting people’s safety at risk.

We have made a recommendation about the identification and completion of risk assessments.

The service was not always well-led. The registered manager and provider had not always ensured we were notified about events that by law we must be notified about. The provider did not always follow their policies. Audits and quality assurance procedures were not always effective in identifying improvements that were needed.

Staff understood how to safeguard people. The providers recruitment process helped to ensure only people of good character were employed and there were sufficient staff employed to meet people’s needs. Skilled and competent staff administered people’s medicines safely. Staff helped people to keep a clean environment in their homes.

The service was effective. Staff with the necessary skills met people’s needs. Staff supported and encouraged people to eat a healthy and balanced diet with enough to drink. People were enabled to access health care services. People were given choice and control over their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. The registered manager worked with other organisations such as the local authority who were involved in people’s care to help ensure that when people used, or moved to and from the service, they received consistent care.

The service was caring. Staff cared for and supported people in a sensitive, kind and compassionate way. Staff respected people’s privacy and dignity and promoted their wellbeing. The provider had procedures and policies in place to help people to access and use advocacy services. People had a say and were involved in how their care was provided. People were treated with fairness whatever their needs were.

The service was responsive. People received person-centred care that was based on their needs. Staff recorded their care visits to people and the provider monitored this situation to ensure that alternative staff resources could be deployed when needed. This helped improve the quality of people’s lives. Concerns were found and responded to effectively and this helped drive improvement. People, were supported with end of life care by staff who had the necessary knowledge and skills to do this with dignity. People’s end of life care wishes were respected an

Inspection areas

Safe

Requires improvement

Updated 5 February 2019

The service had deteriorated to Requires Improvement.

Risk assessments were not always completed and this put people at risk of harm.

There were sufficient staff to keep people safe and staff had been recruited safely.

Medicines were administered and managed safely.

Effective

Good

Updated 5 February 2019

The service remains Good.

Caring

Good

Updated 5 February 2019

The service remains Good.

Responsive

Good

Updated 5 February 2019

The service remains Good.

Well-led

Requires improvement

Updated 5 February 2019

The service had deteriorated to Requires Improvement.

The provider had not ensured we were notified about events that by law we must be told about without delay.

Audits and quality assurance systems were mostly effective but some opportunities to improve the service were missed.

The registered manager led an open and honest staff team culture.

People and/or their relatives had a say in how the service was run.