13 September 2019
During a routine inspection
About the service
Silomarg Ltd is a is a domiciliary care provider providing personal care to two people at the time of the inspection. It provides personal care for people living in their own homes, so they can live as independently as possible.
People’s experience of using this service and what we found
The provider had not established systems to ensure the service was providing quality care. These were reflected in safety aspects not being completed to support risk management.
The required recruitment checks had not been completed to ensure staff were safe to work with people. Staff had not received training from the providers training programme. Any training received from other providers in relation to their role had not been reviewed to reflect staff competency.
Risk assessments were not in place to consider the safety of the environment or the support they may require for their long-term conditions. Reviews had not been completed to consider any changes to the care requirements or care plans being updated when people’s care needs changed. Measures had not been taken in respect of infection control to reduce the risk to people when they received care.
People told us they enjoyed the company of the staff. They had established a relationship as they had consistent staff to support them. These staff demonstrated an understanding of respecting their dignity. People remained in control of their health care needs.
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.
Care plans had not been reviewed or any updates completed to reflect the persons changing needs. There was a complaints procedure, however to date this had not been used. No one was requiring end of life care; however, this could be arranged if needed.
Partnerships had been developed with local authorities to review how the service could support packages of care.
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 16 February 2018 and this is the first inspection.
Enforcement
We have identified four breaches in relation to safe recruitment, safety in relation to risk assessing, training of staff and quality and improvement at this inspection.
You can see what action we have asked the provider to take at the end of this full report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.