Archived: Sarmey Healthcare

Updated 3 August 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

This inspection was carried out by 1 inspector and 1 Expert by Experience. 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

Sarmey Healthcare is a domiciliary care agency. It provides personal care to people living in their own homes.

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 we needed to be sure the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 17 July 2023 and ended on 18 July 2023. We visited the location’s office on 17 July 2023.

What we did before the inspection

In planning our inspection, we reviewed information we had received about the service. This included any notifications (events which happened in the service that the provider is required to tell us about) and any feedback about the service.

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.

We used all this information to plan our inspection.

During the inspection

We spoke with 3 people using the service and 9 relatives. We spoke with the office manager and the registered manager. We sent emails to 10 staff members for feedback, and we received 5 responses.

We reviewed a range of records. This included 3 people’s care records and risk assessments. We looked at 2 staff recruitment files and a variety of records relating to the management of the service including staff training and supervision records, quality assurance information and feedback from people and staff.

Updated 3 August 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location provided care and support for 2 people with a learning disability. We assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

About the service

Sarmey Healthcare is a domiciliary care agency providing personal care to people living in 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. At the time of this inspection 43 people were receiving support with personal care.

Right Support

Effective systems were in place to monitor incidents and prompt action was taken to mitigate risk. Staff supported people to have choice, control, and independence over their lives. People were encouraged to be involved in discussions about their care and support. Staff supported people with their medicines in a way that achieved best possible health outcomes. Staff supported people to access health and social care support, which included a regular review of their prescribed medicines.

Right Care

Staff understood how to protect people from poor care and potential harm. Staff had training on how to recognise and report abuse and knew how to report any concerns. There were sufficient numbers of staff who were appropriately skilled to meet people’s needs and keep them safe. People's care and support plans reflected their range of needs and this promoted their wellbeing. Risks to people had been assessed and staff followed the support plan guidance to protect the person from avoidable harm.

Right culture

The service encouraged people to be involved fully in developing their care plans and making decisions about their care and support. Staff supervision, meetings and spot checks were held regularly and used to develop and motivate staff, review their practice, and focus on professional development. Feedback from people and relatives praised the management and staff team. The service evaluated the quality of support provided to people, involving people, their families, and other professionals as appropriate.

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 Good (published 31 August 2022)

Why we inspected

We received concerns in relation to people’s personal care and support needs. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Sarmey Healthcare 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.