About the service
Spectrum Group Services Limited is a domiciliary care service providing personal care to 27 people aged 18 and over at the time of the inspection.
Not everyone who used the service received personal care. The Care Quality Commission (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
Medicines were not always managed safely. The provider did not follow best practice guidance for managing people’s medicines. Medicines administration records (MARs) were not kept for each person who was supported with their medicines. When MARs were completed they did not contain all the necessary information.
Audits of people’s medicines administration records had not always been completed and this was not identified by the provider’s processes used to monitor quality and safety in the service.
People were supported by staff who had the skills and knowledge to meet their needs. With the exception of risks from the management of medicines, risks to people were assessed and people were protected from harm and abuse and the risk of getting an infection.
The registered manager ensured enough consistent staff were deployed to provide safe, personalised care for people.
People felt staff were caring and empowered them to live their lives as independently as possible. Staff knew people well, helped them to maintain important relationships and prevented them from becoming isolated. Staff treated people with dignity, respect and compassion.
People were involved in making decisions about their care and support. Staff sought people's views on care provided.
Staff worked collaboratively with professionals from health and social care to ensure people's health and wellbeing needs were met.
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.
People felt the service was well managed and the registered manager was friendly and approachable, and responded promptly to their queries and concerns. People were regularly invited to give feedback on the service. Staff felt the registered manager was supportive and approachable.
The registered manager had a vision to deliver high quality, individualised care which promoted people's independence.
For more details please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 25 September 2019 and this is the first inspection. We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report. You can see what action we have asked the provider to take at the end of the full report.
Why we inspected
This was a planned inspection.
We have identified breaches in relation to regulation 12, Safe Care and Treatment and regulation 17, Good Governance.
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.