We carried out a review of the data available to us about Safer Staffing Solutions Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Safer Staffing Solutions Ltd, you can give feedback on this service.
Safer Staffing Solutions Ltd is a domiciliary care service which provides personal care to adults with a range of support needs in their own homes. At the time of this inspection the service was supporting 5 people.
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
There were systems in place to recognise and respond to any allegations of abuse. Staff had received training in safeguarding vulnerable adults. Safe recruitment procedures made sure staff were of suitable character and background. There were enough staff deployed to meet people’s care and support needs in a timely way. There were effective systems in place to ensure people received their medicines as prescribed.
Staff were provided with an effective induction and relevant training to make sure they had the right skills and knowledge for their role. Staff were supported in their jobs through regular supervision and team meetings. 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.
Care records provided person-centred information to enable staff to meet people’s needs and preferences. People told us staff were kind and caring. Staff knew how to treat people with dignity and respect. There were systems in place to respond to complaints. People told us they knew how to complain. Comments about the registered manager were positive. There were effective systems in place to monitor and improve the quality of the service provided. Staff had access to a comprehensive set of policies and procedures covering all aspects of service delivery.
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
The last rating for this service was inadequate (published 7 December 2022) and there were breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
This service has been in Special Measures since 7 December 2022. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
We previously carried out an announced comprehensive inspection of this service on 28 July 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve: safe care and treatment; governance; receiving and acting on complaints; person-centred care; staffing; and fit and proper persons employed
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Safer Staffing Solutions Ltd on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Safer Staffing Solutions Ltd is a domiciliary care service which provides personal care to adults with a range of support needs in their own homes. At the time of this inspection the service was supporting thirteen people.
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 did not have effective recruitment procedures in place to make sure staff were of suitable character and background to work with people using the service. The systems in place to ensure people received their medicines as prescribed were not effective. Accidents and incidents were not consistently recorded or analysed, which meant staff could not learn from these events.
There were not enough staff to meet people’s needs in a timely way. People did not receive consistent call times. Calls to people were sometimes cut short. Visits were frequently late or sometimes missed. This impacted negatively on people's wellbeing and safety.
Staff were not provided with relevant training and ongoing support to make sure they had the right skills and knowledge to support people. Care plans were not detailed or up to date. Risks to people were not always fully identified. Care was not always person-centred or delivered in line with people’s needs and preferences.
Where there were systems and processes in place to monitor and improve the quality of the service provided these were ineffective. Complaints were not responded to appropriately. People using the service, their relatives and staff were not consistently asked for the feedback on the service so it could continually improve. The lack of effective systems and processes in all areas of service delivery left people at risk of harm.
Most people and relatives felt care staff were kind and caring. There were systems in place to recognise and respond to any allegations of abuse. People were supported to access health and social care services as required. 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.
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 26 November 2020 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement and Recommendations
We have identified breaches in relation to governance, medicines management, recruitment, staffing, managing risk, person-centred care and managing complaints.
Please see the action we have told the provider to take at the end of this report.
The overall rating for this service is ‘inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.
If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.
For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions, it will no longer be in special measures.