Sugarman Health and Wellbeing - Liverpool

Updated 3 February 2023

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 Health and Social Care Act 2008.

Inspection team

The 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 houses, flats and specialist housing.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We looked at the information we held about the service. This information included statutory notifications the provider had sent to CQC. A notification is information about important events which the service is required to send us by law. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service and two relatives about their experience of the care provided. We spoke with 13 members of staff including the registered manager, care coordinators and support workers.

We looked at a range of records. These included 6 people's records related to their care and support, medicines records, 6 staff recruitment records and records related to the auditing and monitoring of the service.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 3 February 2023

About the service

Sugarman Health and Wellbeing - Liverpool is a domiciliary care service providing care and support to people living in their own homes. At the time of our inspection the service was providing personal care to 20 people.

People's experience of using this service and what we found

Sugarman Health and Wellbeing - Liverpool had an open and transparent culture resulting in an effectively organised, supportive and well-run service. The registered manager and nominated individual were clear about how the service should be provided and they led by example.

People's needs were comprehensively assessed before they started using the service, people and their relatives were fully involved in the assessment and care planning processes. Staff had established supportive relationships with people and knew them extremely well. Staff provided people with person centred care.

The provider was motivated in supporting their staff and provided access to resources to benefit the health and wellbeing of employees. Support workers spoke very highly about working for the service. People told us their support workers were caring and kind. Support workers had a good understanding of how to support people in a way that promoted their privacy, dignity and independence.

People's care records were thorough, accurate and reflected people's needs and how they were to be met.

Staff ensured people were safe. The provider had systems in place to protect people from the risk of abuse. Risk assessments were completed to help identify and minimise risks people faced. Steps were taken to learn lessons if things went wrong.

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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The provider had made a change to their registration since the last inspection. This is the first inspection under the providers new registration. The last rating for this service was good (published 26 January 2018). Since this rating was awarded the registered address of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.