Sienna Home Care Ltd

Updated 26 May 2023

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 completed by 1 inspector and an Expert by Experience contacted people and relatives by telephone. 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.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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 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.

What we did before the inspection

We reviewed information we had received about 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 2 people who used the service and 7 relatives about their experience of the care provided. We spoke with 3 members of staff including the registered manager, senior carer and 1 care staff.

We reviewed a range of records. This included 4 people’s care and medicines records. We looked at 4 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. We looked at training data and quality assurance records.

Updated 26 May 2023

About the service

In Home Care (Eastleigh) is a domiciliary care provider. At the time of this inspection 10 people received personal care support from the service. The service supported older people, some of whom were living with dementia, within their own homes.

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

People felt safe using the service and relatives felt assured they were kept safe from abuse. The service had enough staff to ensure people received a reliable and consistent service that met their needs. Staff had been safely recruited.

There were plans in place for foreseeable emergencies. Risks concerned with people’s health, care and the environment were assessed and reduced as far as was practicable. People were supported to take their medicines safely. Staff were provided with training and checked to ensure they were following correct procedures. The service managed incidents affecting people’s safety well.

People’s nutritional needs were met, and staff worked collaboratively with health and social care professionals to support people with their healthcare needs. There was a system in place to allow people to express any concerns or complaints they may have.

There were effective systems in place to monitor and improve the quality of the service provided.

Care planning was focussed on people’s individual needs and preferences and provided information about the tasks staff needed to perform at each visit and how the person liked these to be completed. This helped ensure people received personalised care in a way that met their individual needs.

People were treated with kindness and compassion and people felt staff went the extra mile. Staff were able to identify and discuss the importance of maintaining people’s respect and privacy at all times. Care plans had been reviewed with people to ensure they were delivering person centred care.

Most staff felt supported by the registered manager and felt staff morale was positive. Staff we spoke with were enthusiastic about their jobs and showed care and understanding for the people they supported.

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. 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 08 February 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.