Background to this inspection
Updated
15 October 2022
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.
This was a targeted inspection to check on a concern we had about safeguarding systems in place in the service.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Supreme Care Services Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. This included any significant incidents that occurred at the service. The provider was 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 used all this information to plan our inspection.
During the inspection
We reviewed a range of records related to safeguarding processes across the service. We spoke with the registered manager, deputy manager, two field care supervisors and the services quality and compliance consultant. We looked at a range of records relating to safeguarding, samples of meeting records, staff supervision and minutes of team meetings. We also reviewed policies and procedures and examples of learning being shared across the service.
Updated
15 October 2022
About the service
Supreme Care Services Limited is a domiciliary care agency. The service provides personal care to people living in their own houses and flats. It provides a service to older adults some of whom have physical disabilities, mental health needs and are living with dementia. At the time of our inspection 520 adults were receiving support with personal care from this service. The majority of people had their care funded and organised by the local authority.
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 told us they felt safe, and they received support from regular staff. Staff understood how to report safeguarding concerns. We made a recommendation to the provider to review their employment practices to ensure they were working within their policies and procedures.
Risks had been assessed correctly and provided staff with clear information on how to care for people. Staff administered people's medicines in a safe way. The provider had processes in place for the recording and investigation of incidents and accidents. People said staff wore appropriate personal protective equipment (PPE) and staff confirmed they had access to PPE when they needed it.
People were informed when their care visits would be taking place. If staff were running late people were alerted by office staff.
Detailed assessments of a person's needs were completed before they started to receive care and support. The care plans described the care and support a person required. People were supported to eat a healthy diet and to access healthcare professionals when required.
People were supported to have maximum choice and control of their lives and the provider supported them in the least restrictive way possible and in their best interests; the application of the policies and systems supported good practice. Staff received the training and supervision they required to provide them with the knowledge and skills to provide care in a safe and effective way.
People told us they felt the agency was well managed and if they had any concerns or complaints, they knew who to raise these with and they were dealt with.
The provider operated effective quality monitoring systems and sought feedback from people using the service. Spot checks took place to ensure staff were working within the policies and procedures of the service.
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 good published (29 March 2019).
Why we inspected
We undertook this inspection as part of a random selection of services which have had a recent Direct Monitoring Approach (DMA) assessment where no further action was needed to seek assurance about this decision and to identify learning about the DMA process.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.