Archived: Sun Rose Care Limited

Updated 29 July 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

The service did not have a manager registered with the Care Quality Commission. This means that the registered provider is legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 48 hours notice of the inspection. This was because it is a small service and we needed to be sure that the provider would be in the office to support the inspection.

Inspection activity started on 2 June 2021 and ended on 24 June. We visited the office location on 24 June 2021.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

Before the site visit, we spoke with four people who use the service, and six people’s relatives about their experiences of the care provided. We spoke with five members of staff, this included support staff, senior carers and the care co-ordinator. As part of the inspection process we were sent and reviewed a number of policies, this included safeguarding and infection control. We reviewed the training Matrix.

During the inspection

During the site visit we reviewed documents relating to people’s care. This included three people’s care plans and medication administration records (MAR’s). We also looked at information relating to staffing such as recruitment records. We spoke with the registered provider throughout the inspection.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at the recruitment tracker and quality assurance records.

Updated 29 July 2021

About the service

Sun Rose Care Limited is a domiciliary care service. At the time of the inspection, personal care was being provided to 11 people. 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

Quality assurance systems were not always effective and had not identified some areas for improvement found on this inspection. Staff were in the process of being trained to be able to complete the quality assurance processes in the absence of the provider if needed.

The service had been through a period of change in staff and management, however people and their relatives confirmed that this had not impacted on the quality of care provided. People and their relatives told us that staff were kind and caring and knew how to support them.

People, staff and relatives told us that communication with the service was excellent. People and relatives felt involved in their care and that the support provided was tailored to suit their needs. Staff told us they felt supported by the provider.

Medicines were managed safely. The service had recently implemented a digital medication system which allowed for them to monitor medication administration and receive alerts when not completed. Infection control was well managed and staff were provided with adequate personal protective equipment (PPE) as well as training around COVID-19.

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.

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 4 July 2019).

Why we inspected

This inspection was prompted by our data insight that assesses potential risks at services, concerns received in relation to aspects of care provision and previous ratings. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. This enabled us to review the previous ratings.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has remained good. This is based on the findings at this inspection.

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

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.