Background to this inspection
Updated
31 December 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
This inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.
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 the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 24 September 2021 and ended on 8 October 2021. We visited the office location on 5 October 2021.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 used all of this information to plan our inspection.
During the inspection
We spoke with seven people who used the service and received feedback from five family members about their experience of the care provided. We spoke with seven members of staff including the provider, registered manager and care workers.
We reviewed a range of records. These included three people’s care records and medication records. We looked at five staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
31 December 2021
About the service
SureCare Central Cheshire is a community based domiciliary service providing personal care and support to people living in their own homes. At the time of this inspection the service was supporting 40 people living in the Nantwich area and 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.
People’s experience of using this service and what we found
The service was exceptionally caring with the delivery of care and support to people.
People's visits were planned to take place at specific times and staff arrived when scheduled. Robust procedures were in place for the recruitment of staff. People had a care plan that detailed their needs and wishes around their support. Identified risks to people were considered and minimised wherever possible.
People felt safe using the service and procedures were in place to protect people from the risk of abuse. Procedures were in place for the management of medicines.
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 were supported by a staff team who received training and support for their role. People told us that staff were caring and respected their privacy and dignity. Their comments included, “They are all so kind and genuinely care”; “They are definitely kind and caring and mean it!”; ”I really needed the carers when [name] passed away and they comforted me and helped me get through it” and “I couldn’t have more thoughtful carers.”
Infection control procedures were in place to minimise the risk of the spread of infection.
People's needs and choices were assessed prior to receiving support from the service. People were supported with their health and dietary needs when required as part of their care plan.
People were supported by staff who knew them well and were aware of who to speak with if they were not happy about the service they had received.
Systems were in place to review and monitoring the service people received.
People spoke positively about the service. Their comments included, “They do so much more for me than I would expect”; “I am very happy with the service I receive” and “They are fantastic and can't do enough.”
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 8 April 2019 and this is the first inspection.
Why we inspected
This was a planned inspection.
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.