Background to this inspection
Updated
11 August 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 17 & 20 June 2016. The inspection was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service; we needed to be sure that someone would be in.
The inspection consisted of one inspector and an expert by experience (ExE). An ExE is a person who has personal experience of using this type of service or caring for someone who uses this type of service. Before the inspection visit we reviewed information we held about the service. This included previous inspection reports, and notifications sent to us by the provider. Notifications tell us about important events which the service is required to tell us by law. We also reviewed the Provider Information Return (PIR). This is a form completed by the provider, where the provider gives key information about the service, what the service does well and improvements they plan to make.
We used a variety of methods to inspect the service. We spoke with six people that used the service and five relatives of people who used the service. We also spoke with a care coordinator, three care staff, director and the registered manager. We reviewed the care records of four people who used the service, people’s medication records, staff training records, three staff recruitment files and the provider’s quality assurance documentation.
Updated
11 August 2016
We carried out our inspection visit on 17 & 20 June 2016. The inspection was announced.
SureCare Charnwood and Rushcliffe is a domiciliary care service providing care and support to people living in their own homes. The office is based in Loughborough Leicestershire. The service provide support to people living in Leicestershire and surrounding towns and villages. They support people with a variety of care needs including physical disabilities and general care and domestic needs.
The service had a registered manager. 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.
Most people felt safe using the services of SureCare Charnwood & Rushcliffe. However, there was a variation in staff knowledge of their responsibilities to keep people from harm and abuse. Some staff required further training in safeguarding vulnerable adults. Risks associated with the care people received was assessed and relevant measures to minimize risks were put in place where required.
The provider had safe recruitment practices. They completed relevant pre-employment checks which assured them that staff were safe to work with people that used the service. Staff were not always deployed as agreed in people’s care plan.
People received the support they required to take their medicines.
People who used the service felt that the more experienced staff were more competent and skilled than newer members of staff. We found that relevant staff training was not consistently up to date.
Staff had a very limited understanding of the Mental Capacity Act (MCA).
People told us that staff were kind and compassionate to them. Staff were knowledgeable about the needs of the people they supported and helped them to be as independent as possible. They also treated people with dignity and respect.
People’s care plans were not always updated regularly so that they reflected their current and preferences. They did reflect individual outcomes people hoped to achieve through their care and support.
People knew how to express any concerns or raise a complaint. However, their complaint were not always dealt with in a satisfactory manner.
People complimented the current manager, and were hopeful that the quality of the service would improve with the registered manager's support. Staff felt supported, and they had opportunities to give and receive feedback on the service and their performance. They found it easy to approach the registered manager or director for support when required. The registered manager had commenced implementation of their action plan to drive improvements in the service and monitor the quality of the service.