Background to this inspection
Updated
7 October 2021
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 Care Act 2014.
Inspection team
The 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 houses and flats.
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 gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 02 September 2021 and ended on 14 September 2021. We visited the office location on 14 September 2021.
What we did before the inspection
We reviewed information we had received about the service since initial 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. We took this into account when we inspected the service and made the judgements in this report. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We reviewed a range of records including two people’s care records, staff recruitment records and governance systems. We spent time with the registered manager exploring their understanding of their responsibilities regarding operating a safe and effective care service. We received from three people who used the service and nine relatives about their experience of the care provided. We received feedback from 10 staff about their experience of working for Sierra Homecare and an external professional about their experience of engaging with the service.
Updated
7 October 2021
About the service
Sierra Homecare is a domiciliary care service providing personal care for 19 people at the time of the inspection. 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
People were safe and protected from avoidable harm because staff knew how to identify and report any concerns relating to the risk of abuse. Risks to people’s health, safety and well-being were assessed and measures were put in place to remove or reduce the risks. People were supported by staff who had been safely recruited.
People’s medicines were managed safely. Staff had received appropriate training and had their competency assessed to help ensure they were sufficiently skilled and knowledgeable in this area. Staff had received training in infection control practices and personal protective equipment such as gloves and aprons was provided for them. The management team took appropriate actions following any incidents and learning was shared with staff.
People and relatives praised the kind and caring nature of the staff and management team and were very satisfied with the care and support they received. People said they felt valued and respected by staff and relatives spoke of the peace of mind they enjoyed knowing their family members were so well looked after for by staff who really cared. Staff told us they also felt cared for and were proud of the care and support they delivered.
People received consistent care from a small team of staff. People knew about their care plans and could decide what care and support they needed. People’s records were held securely in a locked cabinet within a locked office to help promote confidentiality.
Before care delivery started the provider completed assessments to make sure people’s needs could be met by Sierra Homecare. Care plans were developed from these assessments for each person’s identified needs. Staff received training and support to enable them to carry out their roles effectively.
Staff and the management team knew people well, were able to promptly identify when people’s needs changed, and they sought professional advice appropriately. 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 received care and support as they wished. People and their relatives said they had not had any concerns but would be confident to raise any issues with the management team. The management team was committed to providing a high standard of care to the people they supported as well as the staff team and understood their responsibilities under the Duty of Candour. People, their relatives and staff members spoke highly of the management team and told us they were always available and supportive.
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 04 July 2018 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.