We carried out a review of the data available to us about SureCare Richmond and Kingston on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about SureCare Richmond and Kingston, you can give feedback on this service.
Surecare Richmond and Kingston is a domiciliary care agency providing personal care to people in their own homes. The service provides support to older people and those with dementia. At the time of our inspection there were 24 people using the service; including one with learning disabilities.
Not everyone who used the service received personal care. 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.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support: People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse.
People lived safely and free from unwarranted restrictions because the service assessed, monitored and managed safety well. Staff recruitment and induction training processes promoted safety. People received support from staff to make their own decisions about medicines wherever possible. Preferences were identified and appropriate staff were available to support people.
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.
Right Care: Updated training and refresher courses helped staff continuously apply best practice. People received support to eat and drink enough to maintain a balanced diet. People were referred to health care professionals to support their wellbeing and help them to live healthy lives. People received kind and compassionate care from staff. People were enabled to make choices for themselves and staff ensured they had the information they needed.
Right Culture: Management were visible in the service, approachable and took a genuine interest in what people, staff, family, advocates and other professionals had to say. Governance processes were effective and helped to hold staff to account, keep people safe, protect people’s rights and provide good quality care and support
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 14 February 2019)
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding.
Recommendations
We have made a recommendation in relation to the management of records.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to adults of all ages and abilities. Everyone using SureCare received a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating.
The service had a registered manager at the time of the 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.
The provider who is part of a larger franchise was registered in February 2018 and had been delivering services to people since June 2018. During that time they had established good practices and procedures which would help as the service expanded.
People were safe in their homes. Staff could explain to us how to keep people safe from abuse and neglect. People had suitable risk assessments in place. The provider managed risks associated with people's homes, to help keep people and staff safe. Recruitment practices were safe. Staff were trained in medicine administration and the checks we made confirmed that people were receiving their medicines as prescribed by staff qualified to administer medicines.
People were supported by staff who received appropriate training and support. Staff had the skills, experience and a good understanding of how to meet people's needs.
We checked whether the service was working within the principles of the MCA, and whether any conditions on authorisations to deprive a person of their liberty had the appropriate legal authority and were being met.
When required people were supported to eat and drink sufficient amounts to meet their needs. When required staff worked with people's GP and other healthcare professional to ensure they stayed well and comfortable.
People and relatives told us staff were polite, friendly and very nice and staff respected their privacy and treated them with dignity. People's needs were assessed before they started to use the service and care was planned and delivered in response to their needs. The provider had arrangements in place to respond appropriately to people's concerns and complaints.
Systems were in place to monitor and improve the quality of the service. The provider had effective quality assurance systems to monitor the scheme's processes. These systems helped ensure people received the care they needed as detailed in their support plans.