We carried out a review of the data available to us about Spectrum Group Services Limited 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 Spectrum Group Services Limited, you can give feedback on this service.
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
The registered manager and senior team used clear auditing and governance systems to maintain a detailed oversight of the service, manage risks and make improvements.
People were protected from the risk of harm and abuse by knowledgeable, trained staff. Risks to people and within their environment were effectively assessed and documented using evidence-based tools. People’s medicines were managed safely. There were safe numbers of suitable staff to provide care and support to people. People were protected from the spread of infection by trained staff. The registered manager and staff team continually reflected on practice to make improvements to people's care and support.
The registered manager and staff team were committed to delivering person-centred, compassionate care. Staff and the people they supported were involved in how the service was run and their feedback was sought regularly.
Staff demonstrated a culture of learning and continuous improvement and worked collaboratively with other professionals to meet people's 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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 27 October 2021) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an announced comprehensive inspection of this service on 11 August 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when, to comply with the regulations for safe care and treatment and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions of safe and well led, which cover those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to 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 Spectrum group Services Limited on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
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.
Enforcement
We have identified breaches in relation to regulation 12, Safe Care and Treatment and regulation 17, Good Governance.
Follow up
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.