Updated 30 September 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
This inspection was carried out by 1 inspector.
Service and service type
Serenity Integrated Care is a domiciliary care agency. It provides personal care to people living in their own homes.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the provider a few days’ notice because we were aware they were a small service and we needed to ensure they would be available to assist us with the inspection.
Inspection activity started on 29 August 2023 and ended on 13 September 2023. We requested a range of documents related to people’s care that was sent to us by the registered manager between 29 August and 13 September 2023. We visited the office location on 1 and 5 September 2023 to see the registered manager and to review further records related to the service. We made calls to people who used the service, their relatives and care staff between 4 and 11 September 2023.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a recent Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We contacted the local authority commissioning team and reviewed the previous inspection report. We used all of this information to plan our inspection.
During the inspection
We reviewed records related to 5 people’s care and support. This included people’s care plans, risk assessments and 4 staff files in relation to recruitment, training and supervision.
We also reviewed records related to the management of the service, which included daily care logs, quality assurance records and samples of team meeting minutes.
We spoke with 10 staff members. This included the registered manager, the deputy manager, the human resources officer, an administrator, 2 field care supervisors and 4 care and wellbeing workers.
We made calls to 3 people and spoke with 2 people and 1 relative. We also received feedback from a health and social care professional who had experience of working with the service.
We continued to seek clarification from the provider to validate evidence found. This related to further quality assurance records and information related to staff recruitment.
We provided formal feedback to the registered manager via email on 13 September 2023.