Archived: Sans Soucie Home Care Ltd

Updated 10 November 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

We carried out a comprehensive inspection on 2nd October 2018 which was announced. We gave the service 24 hours’ notice of the inspection visit because the location provides a domiciliary care service so we needed to be sure that they would be in.

The team was made up of two inspectors. Before the inspection we gathered and reviewed information about the service from their 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 also reviewed notifications that had been sent to us. A notification is information about important events which the provider is required to send us by law.

We spoke to four staff members including the registered manager and referred to a number of records. These included two care plans, records around medicine management, staff recruitment files, policies around the running of the service, and how the organisation audits the quality of the service.

Following the inspection we spoke to one person who uses the service and three relatives.

Updated 10 November 2018

Sans Soucie Home Care Limited is domiciliary care agency supporting people with a range of needs including learning disabilities, autistic spectrum disorder and people living with dementia. Not everyone using Sans Soucie Home Care Limited receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the point of our inspection there were eight people supported by the service who were receiving a regulated activity.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained good.

Staff were aware of the safeguarding process and knew how to keep people safe from risk of abuse.

Risk assessments were appropriately recorded and managed. This included in-depth risk assessments on people’s health needs.

Medicines administration and recording procedures were correct.

Lessons were learned where things had gone wrong to improve the service. The registered manager was open and transparent about previous issues with missed calls and how these were dealt with.

Pre- admission assessments were thorough to ensure that people’s needs could be met before the service started delivering care to them.

There were effective methods of communication between the team and other organisations.

People were supported to have access to a range of healthcare professionals including occupational therapists.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible. Staff were aware of the principles of the Mental Capacity Act 2005 and people’s rights were protected.

Reviews of people’s care plans included all relevant parties involved in their care.

People and relatives told us that staff were kind and caring. They also promoted people’s independence where possible. In some cases, this had led to employment opportunities.

Care plans were person-centred and focused on what was important to people and their families.

Concerns and complaints were dealt with appropriately and monitored for trends. The registered manager ensured that people and their relatives were happy with the outcome of the complaint raised.

Staff and relatives felt that the registered manager was approachable.

There were auditing systems in place to monitor and improve the quality of care provided.

People, relatives and staff were engaged in the running of the service through surveys, questionnaires and meetings.

There were close working partnerships with other organisations.