Cerene Care LTD

Updated 8 June 2023

The inspection

We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.

Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and video or phone calls to engage with people using the service and staff.

Inspection team

This inspection was carried out by 1 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.

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 24 hours’ notice of the inspection. Inspection activity started on 28 February 2023 and ended on 24 April 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

We spoke with the registered manager and a care worker. We reviewed two staff recruitment files and policies and procedures. We spoke to 1 relative about people’s experience of using the service. We also viewed 1 person’s care records, including care plan, risk assessment and daily notes. We reviewed training records for staff. We also reviewed quality assurance documents in relation to the management of the service.

Updated 8 June 2023

About the service

Cerene Care Limited is a domiciliary care agency providing personal care to children and adults. The service provides support to people in their own homes. At the time of our inspection the service was providing personal care to 1 person.

People’s experience of using this service and what we found

We have made a recommendation about the management of some medicines.

People’s relatives told us their loved ones were safe. There were effective systems and processes in place to minimise risks to people. The assessments provided information about how to support people to ensure risks were reduced.

People who may become anxious or distressed had proactive plans in place to reduce the need for restrictive practices.

Recruitment checks were carried out to ensure staff employed were safe to work with people. Systems were in place to report and learn from any incidents where restrictive practices were used.

People were cared for and supported by staff who were suitably trained and supported to effectively perform their roles and responsibilities.

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.

Systems were in place to report and learn from any incidents where restrictive practices were used.

Care was person-centred and promoted people’s dignity, privacy and human rights. People were safeguarded from the risk of abuse as staff knew how to report concerns should they suspect or witness abuse.

Relatives told us staff were kind and caring towards their relative and treated them with dignity and respect. Relatives confirmed that they were included in decision making about their relatives’ care. People were supported to maintain their privacy, dignity and independence by a staff who knew them well.

People had their communication needs met and information was shared in a way that could be understood.

People were supported to access food and drink that met their dietary needs and wishes.

People were supported to stay healthy and well, and to access community health and social care services as and when required.

The ethos, values, attitudes and behaviours of management and care staff promoted a service which was inclusive, empowered and encouraged good outcomes for people who used the service.

Relatives and staff spoke positively of the registered manager. Managers ensured that staff had relevant training, supervision and appraisal.

Governance systems ensured people were kept safe and received a high quality of care and support in line with their personal needs. Staff worked well with other services and professionals to improve outcomes for people.

Relatives told us the registered manager was approachable and took action to resolve issues where needed. Staff told us they were well supported by the registered manager and were listened to and encouraged to discuss their views regarding the service.

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 14 May 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.