- SERVICE PROVIDER
Sirona Care & Health C.I.C.
This is an organisation that runs the health and social care services we inspect
Assessment report published 30 April 2026
Contents
Ratings - Community health services for adults
Our view of the service
We carried out this assessment between 20 and 21 January 2026. Sirona care and health C.I.C. is a community interest company, not for profit, who provide services for the NHS. They provide a range of services for children and adults in the community setting. We only assessed community services for adults.
We undertook this assessment to follow up on 2 warning notices issued on the 3 April 2025 following an inspection on the 21 and 22 January 2025, relating to breaches of Regulations 17 and 18 concerning governance and staffing. This assessment focused on community nursing and podiatry services. While the service had made progress, further improvement was still required at the time of our visit. Overall, we found the provider had met the requirements of the warning notices, with planned improvement work continuing.
At this inspection we inspected 2 quality statements across the safe and well-led key questions.
Staff had access to training and competency assessments to support the development of their skills. While not all staff had completed these, the organisation had a delegation of care framework, by which they oversaw the allocation of care visits delegating tasks and responsibilities to colleagues that were within their level of skill and experience. Staff continued to raise concerns about staffing levels and deferred visits due to high patient acuity and increasing numbers of insulin visits.
Governance and risk‑management processes had improved, and record keeping was better, although consistent compliance still depended on mobile signal and staff having sufficient time. Some staff continued to write up records after completing all their visits.
At this inspection we inspected 2 quality statements across the safe and well-led key questions.
Staff had access to training and competency assessments to support the development of their skills, but not all staff had completed these. Staff continued to raise concerns about staffing levels and deferred visits due to high patient acuity and increasing numbers of insulin visits.
Governance and risk‑management processes had improved, and record keeping was better, although consistent compliance still depended on mobile signal and staff having sufficient time. Some staff continued to write up records after completing all their visits.
Safe:
There were, at times, not always enough staff with the right skills, qualifications, competencies and experience in the community setting. Staff received improved competency assessments to make sure they had skills to meet the needs of the patients, but not all staff had completed these which had resulted in harm to a patient.
Well-led:
Record‑keeping had improved. But leaders had not yet secured consistent compliance, as completion still depended on mobile signal and staff practice choices. Senior staff monitored key performance indicators, including waiting times, and governance tools were improving. However, work to ensure timely action on risks was still ongoing.