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SCC Agency Ltd (trading as South Coast Care) Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 25 October 2018

This inspection took place on the 12 and 14 September 2018 and was announced.

Following the last inspection in November 2017, we asked the provider to complete an action plan to show what they would do and by when to improve all key question(s) to at least ‘Good.’ At the previous inspection we found four breaches of Regulation for 11 (consent), 12 (safe care and treatment), 17 (good governance) and 18 (staffing) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection we found that the provider had worked to address these breaches. We did not find any breaches of regulation at this inspection. However, the service was not always Well-led. People did not always receive a well-coordinated or reliable service. At times people’s care was late. Communication was not always proactive between the office and people who used the service. This was being addressed by the registered manager and new care manager at the time of this inspection. Policies and procedures required review to update in line with best practice and legislative changes. We recommend that the service updated their policies and procedures.

Not everyone using SCC Agency Ltd receives regulated activity; 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 this inspection the agency provided personal care to approximately 102 people living in their own homes in the West Sussex areas. The agency supported people living with a variety of identified needs, including those who may be living with dementia, mental health, older people, younger adults, people living with physical disability and sensory impairment.

There was a registered manager 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.

People’s needs were assessed with risks also being considered. When people required support with their medicines, this was managed safely. Risks associated with infection control were managed safely and care staff used protective equipment such as gloves and aprons.

Staff were supervised and received appropriate training, ‘spot checks’ and competency checks to make sure they were skilled in their roles.

Staff and the management team understood the basic principles of the Mental Capacity Act 2005 and people were asked for their consent before interventions and care was provided.

People told us that care staff were kind and compassionate and people valued the support provided to them by the agency. Care staff aimed to provide responsive, person-centred care to people.

Complaints were listened to and responded to appropriately.

People and those who were important to them, were involved in the review and planning of their care. People were involved in decisions about their care.

People did not receive end of life care at the time of this inspection.

Inspection areas

Safe

Good

Updated 25 October 2018

The service was Safe.

People were safeguarded from abuse by staff who understood how to report concerns appropriately.

Risks were assessed for people and mitigating actions taken to reduce risks.

People were protected from the risks of infection.

Medicines were managed safely for people when care staff supported this.

Lessons were learned when things went wrong.

Effective

Good

Updated 25 October 2018

The service was Effective.

People�s needs and choices were assessed and people received support to eat and drink enough.

Care staff had the right skills to support people appropriately. Their practice was observed during regular supervision and observed practice of their abilities and competence in their role.

The agency supported people to access healthcare services as they required them.

Care staff and the management team understood the principles of the Mental Capacity Act 2005.

Caring

Good

Updated 25 October 2018

The service was Caring.

People received a service from kind, compassionate care staff.

People were supported and encouraged to maintain their independence when they were able.

Privacy and dignity were maintained. Records were held securely and in line with current Data Protection requirements.

Responsive

Good

Updated 25 October 2018

The service was Responsive.

People were involved in decisions about their care and care needs were reviewed.

People felt able to raise complaints when they needed to and complaints were responded to appropriately.

End of life care needs were understood although people did not receive end of life care at the time of this inspection.

Well-led

Requires improvement

Updated 25 October 2018

The service was not always Well-led.

People did not always receive a well-coordinated service in a timely and reliable way.

People�s views were considered in the day to day running of the service.

The provider had improved the quality of the service from lessons learned.

Governance systems monitored the quality and safety of the service.