Background to this inspection
Updated
28 January 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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.
Inspection team
Our inspection was completed by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service did not have a manager registered with the Care Quality Commission. The registered manager for this service had recently left employment. The provider is therefore 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 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure the provider would be in the office to support the inspection. Inspection site visit activity took place on 4 November 2019.
What we did before the inspection
We reviewed information we had received about the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with the administrator and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. The nominated individual for this service was also the provider and was managing the service until a new manager was recruited. We reviewed a range of records including one person’s care record including risk assessments and two staff files in relation to recruitment and supervision. A variety of records relating to the management of the service including staff training and quality assurance were reviewed.
After the inspection
The provider sent us documentation we requested. We spoke with a relative and a care staff member.
Updated
28 January 2020
About the service
SureCare Newham is a domiciliary care service providing personal care to adults. 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. At the time of this inspection there was one person receiving a personal care service.
People’s experience of using this service
There was no registered manager at the service.
People using the service had risk assessments carried out to protect them from the risks of avoidable harm. Staff knew what actions to take if they suspected somebody was being abused. People were protected from the risks associated with the spread of infection. The provider had a system to record accidents and incidents.
The provider had systems in place to support staff in their role including training, supervision and appraisals. People’s care needs were assessed before they began to use the service so the provider could be sure they could meet their care needs.
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. The provider and staff understood the need to obtain consent before delivering care.
Staff demonstrated how they got to know people and their care needs. The service involved people and their relatives in choices and decisions about their care. Staff understood how to provide a fair service to everyone. People’s privacy, dignity and independence were promoted.
Care plans were detailed and personalised. Staff understood how to provide a person-centred service. People’s communication needs were met. The provider had a system to deal with complaints appropriately. The service had a policy in place to provide people with end of life care if required.
Staff and a relative spoke positively about the leadership in the service. The provider had systems to capture feedback from people about the quality of the care provided. The provider carried out various quality checks to identify areas for improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was registered with us on 12 November 2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration. We have found evidence that the provider needs to make improvements. Please see the Well Led section of this full report.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
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.