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Archived: Meridian Health and Social Care - Coventry

Overall: Good read more about inspection ratings

441 Foleshill Road, Coventry, West Midlands, CV6 5AQ (024) 7666 2758

Provided and run by:
Sevacare (UK) Limited

Important: The provider of this service changed. See new profile

Latest inspection summary

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Background to this inspection

Updated 22 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: One inspector, and two expert by experience carried out the inspection. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of service.

Service and service type: Sevacare Coventry is a domiciliary care agency. It provides personal care to people living in their own homes, including, older people and people living with dementia. CQC regulates the personal care provided. The experts by experience supported the inspection by making phone calls to people who used the service.

The service had a manager registered with the Care Quality Commission. 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. The registered manager was unavailable on the day we visited the office. The office visit was supported by the service director and the branch manager.

Notice of inspection: This comprehensive inspection took place on 23 May 2019. The inspection was announced. We gave the service 48 hours' notice of the inspection because we needed to be sure the managers and other staff would be available to speak with us.

Inspection activity started on 26 March 2019 and ended on the 23 May 2019 when we visited the office location to meet with the managers, speak with staff; and to review care records and policies and procedures.

What we did: Prior to the inspection, we looked at the information we held about the service and used this to help us plan our inspection. This included concerns and complaints we had received and information the provider must notify us about, such as allegations of abuse. We reviewed the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We contacted the local authority commissioners for the service. The commissioner told us they had identified several concerns at their monitoring visit in early 2019. They had been working closely with the managers, who had made the required improvements to the service.

We spoke with a service director, the branch manager, the deputy manager, two care co-ordinators, a team leader and three members of care staff. We also spoke with 19 people, and 12 relatives of people who used the service by telephone.

We reviewed a range of records. This included, five people’s care records, including daily records, risk assessments and medicine records. Three staff personnel files, including recruitment, induction and training records. Records of complaints and the provider’s quality audits and checks.

Overall inspection

Good

Updated 22 June 2019

About the service: Sevacare Coventry is a domiciliary care agency. It is registered to provide personal care to people in their own homes, including, older people, people with mental health needs, and people living with dementia. The service provides long term support to people and a short-term, fast response service for up to six weeks. The short-term service supports people ready to be discharged from hospital to return to their own homes. At the time of the inspection visit the service supported 280 people.

People’s experience of using this service:

Staff understood how to keep people safe and protect them from avoidable harm. There were safe procedures to manage people’s medicines and to prevent the spread of infection.

People’s needs were assessed to ensure they could be met by the service. Staff knew about the risks associated with people’s care and management plans had been completed for all identified risks.

Staff were recruited safely, and there were enough staff to provide the care and support people required. However, some people had not always received their care visits at the times expected.

Staff received training and support to be effective in their role.

People made their own decisions about their care and were supported by staff who understood the principles of the Mental Capacity Act 2005.

Where required, people were supported with their nutritional needs and to maintain their health and well-being.

Staff were caring and respected people’s rights to privacy and dignity.

People were involved in planning their care and were consulted about the care provided.

Care plans contained the information staff needed to provide personalised care.

Systems were in place to manage and respond to any complaints or concerns raised. The recording of outcomes and any learning from complaints needed improvement.

The provider understood their regulatory responsibilities and had effective processes for assessing and monitoring the quality of the service.

Rating at last inspection: Requires Improvement. We found three breaches of the regulations and rated the service requires improvement in the key areas of, safe, effective, responsive and well led. The last inspection report was published on 1 June 2018.

Why we inspected: This was a planned inspection based on the date and the rating of the previous inspection. We had also received concerns about the service that we had referred to the local authority and to the provider to investigate, which we needed to review. The overall rating for the service has changed to good, with improvement required in the key area of responsive.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.