Background to this inspection
Updated
22 February 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
One inspector carried out this announced inspection.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
We gave a short period of notice of the inspection. This was because we wanted to speak with staff and people who use the service before visiting the service’s office.
Inspection activity started on 3 February 2020 and ended on 10 February 2020. We spoke with people, relatives and staff on the telephone on 4 and 5 February 2020. We visited the office location on 6 February 2020.
What we did before the inspection
We reviewed information we had received about the service since registration. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We received this on 19 August 2019. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with three people who used the service and three relatives about their experience of the care provided. We spoke with three care workers, the registered manager, a risk assessor and trainer, a care co-ordinator, and an administrator.
We reviewed a range of records. These included five people’s care records, staff training records and a variety of records relating to the management of the service, including accident and incident reports and investigations, and audits. On 10 February 2020 we received additional information from the registered manager about risk assessment, medicines administration, and their updated action plan.
Updated
22 February 2020
About the service
Sunshine Wisbech provides personal care to adults living in their own homes in Wisbech and the surrounding villages. 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. At the time of this inspection, 44 people received the regulated activity, personal care.
People’s experience of using this service and what we found
People felt safe receiving the service and were protected from avoidable harm by a staff team trained and confident to recognise and report any concerns. People received their medicines at the right times.
Staff had the time to ensure they met people’s needs safely, and in a way that suited them. One person told us, “[Staff] sit and have a chat with me. It’s so nice to have a chat for a few minutes. I don’t see anyone else.” Staff told people if their call times changed or they were going to be late.
People received care from a small team of staff who were well trained and very well supported. Staff were held to account for their performance when required. Staff worked well together and liaised with external care professionals to ensure people received the care and support they needed.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. People were involved in making decisions about their care and support. Staff supported people to express their views and consulted them about their care.
The registered manager and staff were caring and provided people’s care in a person-centred way. Staff were friendly, and treated people with respect. People’s care plans provided staff with comprehensive guidance on how to meet people's needs.
The registered manager understood their role and legal responsibilities. Systems were in place to deal with any concerns or complaints. Audits and quality monitoring checks helped drive forward improvements in the service. We received positive feedback about the way the service was managed. The registered manager and staff were approachable and accessible. Staff were proud to work for the service and worked in partnership with external professionals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 5 February 2019). 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
This was a planned inspection based on the previous rating.
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.