29 and 30 July 2014
During a routine inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to pilot a new inspection process being introduced by CQC which looks at the overall quality of the service.
The inspection was announced forty eight hours in advance. This was because we wanted to arrange to visit some people who received the service to obtain their feedback. Somerset Care Community (Torbay) (referred to by name or as ‘the service’) was last inspected on the 20 and 27 November 2013. We had no concerns about the service at this time.
Somerset Care Community (Torbay) provides care in people’s homes. At the time of the inspection they were providing personal care to 158 people and employed 69 staff to carry out this work. People were provided with both short term or longer term care.
There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.
People told us they felt safe in respect of the care provided. Staff were trained in safeguarding people they were caring for and demonstrated they understood this. However, people told us they wanted to know who was coming into their home and that their care would be provided at a time that was right for them. People told us they felt unsafe and uncomfortable in their own home not knowing this. People expressed concerns about the weekends in addition to the weekdays.
People told us they felt the care they received was caring. People told us staff treated them with dignity and respect. However, people also told us they were concerned about not having continuity of carers. Also, the times of care were not always at the times they desired or could change without consultation
We found the provider did not have a system in place to ensure the safe administration of medicines. People were potentially at risk as a result. People told us that when staff were late they either had to take their medicine themselves or their routine was affected.
People told us they were asked their opinion of the service but did not always feel this was listened to or accommodated.
The service had a clear structure of governance in place. The registered manager had not been in their role for long and the organisation had undergone a restructure.
We found a number of breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. You can see what action we told the provider to take at the back of the full version of this report.