Background to this inspection
Updated
5 January 2022
The inspection
We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.
Inspection team
This inspection was undertaken by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
The service had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We did not give the provider notice of this inspection.
What we did before the inspection
We reviewed information we had received about the service since registration. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
This performance review and assessment was carried out without a visit to the location’s office. We used technology such as video calls to enable us to engage with people using the service and staff, and electronic file sharing to enable us to review documentation. Inspection activity started on 24 November 2021 and ended on 08 December 2021.
We received feedback from two people who used the service and three relatives about their experience of the care provided. We received feedback from two care workers, and we had a video call with the registered manager on 08 December 2021. We reviewed a range of records relating to the management of the service, including staff training records, the service improvement plan, and evidence of monitoring staff practice and medication competencies.
Updated
5 January 2022
About the service
Sawbridge Primecare Ltd is a Domiciliary Care Service which provides personal care and support to people living in their own homes. The service supports people with dementia, mental health needs, sensory Impairment and physical disabilities. At the time of this inspection 11 people were receiving the regulated activity.
Not everyone who used the service received personal care. 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
Training had not been received by some staff in basic core areas such as safeguarding, mental capacity, health and safety or fire safety. These staff were new to the organisation and had received a basic overview of these areas in their initial induction. The provider had confirmed to us the training was arranged and will be provided. Staff were aware of the procedure for reporting any concerns to help keep people safe.
People and their relatives said they felt the care and support provided was safe. Individual risks were assessed in some cases, and staff were aware of these. There were enough staff available to meet people's needs. People were supported, when required, to receive their medicines regularly and staff completed the medicine administration records. Staff were aware of how to reduce the risk and spread of infection.
People were supported where required to eat and drink to remain healthy and were supported to access healthcare professionals when required. 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 told us staff were caring and kind. They told us staff always asked them what they would like help with and supported them in the way they wished to be supported. People were involved in their care planning and staff made sure they respected people's dignity and privacy. The registered manager monitored this as part of their routine oversight of the service.
People and relatives said any concerns were quickly addressed which meant they did not escalate to a complaint. People’s views were sought through a variety of methods, although these were not recorded. This meant this information did not feed into the quality assurances designed to give the registered manager a clear overview of the service.
The registered manager had quality assurance systems and processes in place at the time of the inspection. However, the service had only been operation since March 2021, and they did not provide a service for many people. We looked for assurances that the systems were being embedded into daily practice.
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 14 October 2020 and this is the first inspection.
Why we inspected
This inspection was carried out to check 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 Care Act 2014.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.