Background to this inspection
Updated
21 April 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.
Inspection team
The inspection was carried out 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.
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
We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 22 March 22 and ended on 28 March 2022. We visited the location’s office on 24 March 2022.
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 (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with six people who used the service and six relatives about their experience of the care provided. We spoke with six members of staff, including the registered manager, the care manager, the learning and development officer and three members of care staff.
We reviewed a range of records. This included five people’s care records and medication records. We looked at three 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.
Updated
21 April 2022
About the service
SureCare Bolton is a domiciliary care agency which provides care and support to people living in their own homes in the community. SureCare Bolton offers a variety of services, including assistance with personal care, support with medicines and domestic tasks. At the time of our inspection there were 116 people using the service.
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 provider had systems in place to help ensure people were safeguarded from the risk of harm. Staff completed safeguarding training. General and individual risks were assessed and managed well. Medicines were managed effectively, and the provider ensured all infection control measures were followed by staff.
People’s needs were assessed and met with appropriate care and support. The service worked with other agencies and professionals to help ensure a good joined up service.
Staff were recruited safely, and staffing levels were sufficient to meet the needs of the people using the service. There was a thorough induction programme and staff training was on-going.
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 treated well and told us their dignity and privacy was respected. People, and their relatives where appropriate, were supported to be involved with their care reviews. People’s care and support was planned in a person-centred way, according to their wishes.
Complaints were addressed with appropriate actions and the provider had received a number of compliments and thank you cards. People told us communication was good and the management team were open and honest. Audits and checks of documents and systems helped ensure continuous learning and improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 18 September 2020 and this is the first inspection.
Why we inspected
This was a planned inspection to look at all five domains and to rate the service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.