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Inspection Summary


Overall summary & rating

Good

Updated 10 May 2018

Sova Healthcare provides domiciliary care to people living in their own homes. It provides personal care to a range of people including older people, people living with dementia, people with mental health needs, people with learning disabilities and younger adults. At the time of our inspection 11 people were receiving a personal care service.

At the last inspection in January 2016, the service was rated 'Good'. At this inspection we found the service remained 'Good'.

Staff received safeguarding training so they knew how to recognise the signs and symptoms of abuse and how to report any concerns of abuse.

Staffing arrangements were suitable to keep people safe. The staff recruitment practices ensured staff were suitable to work with people.

Staff followed infection control procedures to reduce the risks of spreading infection or illness.

The provider understood their responsibility to comply with the Accessible Information Standard (AIS), which came into force in August 2016. The AIS is a framework that makes it a legal requirement for all providers to ensure people with a disability or sensory loss can access and understand information they are given.

Risk management plans were not always fully in place to protect and promote people's safety.

Where the provider took on the responsibility for the management of medicines, staff followed practice guidelines, though not all staff had been trained before they assisted with people having their medicines.

On-going refresher training was provided to ensure staff were able to provide care and support for people, though not all staff had received induction training when they first started work at the service.

The regularity of staff supervision systems did not fully ensure that staff received regular one to one supervision and appraisal of their performance.

Staff supported people to eat and drink sufficient amounts to maintain a varied and balanced diet.

People had been supported to have health appointments though not all people had regular optical and dental appointments to make sure they received continuing healthcare to meet their needs.

People were encouraged to be involved in decisions about their care and support. Staff demonstrated their understanding of the Mental Capacity Act, 2005 (MCA) and they gained people's consent before providing personal care.

People had their privacy, dignity and confidentiality maintained.

The provider followed their complaints procedure when dealing with complaints.

Staff consistently provided people with respectful and compassionate care. People had their diverse needs assessed and met. They had positive relationships with staff and received care to meet their personal preferences.

People, their relatives and other professionals told us that they had confidence in the management of the service to provide managerial oversight and leadership.

Inspection areas

Safe

Requires improvement

Updated 10 May 2018

The service was not consistently safe.

Risk assessments to protect people's health and welfare did not always contain sufficient information to protect people from risks to their health and welfare. Action had not always been considered following an incident affecting a person using the service. Staff recruitment checks were in place to protect people from receiving personal care from unsuitable staff.

Relatives thought that staff provided safe care and that people felt safe with staff from the service. People had been assisted to take their medicines.

Effective

Good

Updated 10 May 2018

The service remains effective.

Caring

Good

Updated 10 May 2018

The service remains caring.

Responsive

Good

Updated 10 May 2018

The service remains responsive.

Well-led

Good

Updated 10 May 2018

The service remains well led