About the service: Sunrise Day Care Services Ltd is a domiciliary care agency and registered for ‘personal care’. This service provides personal care to people living in their own houses and flats. At the time of this inspection 10 people were using the service.People’s experience of using this service:
• Risks to people's health and safety were not always identified and assessed to ensure safe care delivery for people. Care records did not reflect people’s current support needs. The provider did not have effective systems in place to monitor the quality of the services provided for people, including accuracy of care records. This was a repeated breach of Regulation 17 of the HSCA 2008 (Regulated Activities) Regulations 2014.
• Staff’s understanding about safeguarding and the Mental Capacity Act 2005 (MCA) was limited and some of the training refresher courses had not been delivered since 2015. This was a repeated breach of Regulation 18 of the HSCA 2008 (Regulated Activities) Regulations 2014.
• Staff were required to undertake checks before they were employed by the service. However, records were not always available to support the employment decision, but the registered manager agreed to address this as necessary.
• The registered manager was not fully aware of all the statutory notifications they had to submit to CQC. We will check their knowledge at our next comprehensive inspection.
• Staff followed the provider’s procedures to support people if they noticed them being at risk of harm or when incidents and accidents took place. There were no allegations of abuse or incidents and accidents that had taken place since the last inspection.
• Staff were trained and had access to policies and procedures for infection control.
• People had assistance to prepare their meals according to their culture and choices.
• Staff understood their responsibility to contact healthcare services should they noticed people’s health needs rapidly deteriorating.
• The MCA principles were understood and applied in practice by the registered manager as necessary.
• People told us they were well treated, and that staff kindly attended to their care needs.
• Staff supported people to enhance their independence and express their choices where possible.
• People were encouraged and provided feedback about the services they received which was positive and they had no complaints.
• People felt that the management team was approachable and responded well if they wanted to make changes to their care delivery.
• Family members were involved and supported people to make important decisions about their care.
• Staff received the necessary guidance to perform in their role well and made decisions about the service delivery.
Rating at last inspection:
• The service was previously inspected on 22 May 2018 and was overall rated Requires Improvement, with Requires Improvement in safe, effective and well-led. We found two breaches of the Regulations in relation to good governance and staffing.
Why we inspected:
Enforcement:
• Full information about CQC’s regulatory response to the more serious concerns found in inspections and appeals is added to reports after any representations and appeals have been concluded.
• This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Follow up:
• We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspection will be planned in line with our re-inspection programme. If any concerning information is received, we may inspect the service sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk