Archived: Rose of Sharon Care Services

Rose of Sharon Care Services are registered to deliver personal care. They provide Domiciliary care to people living in their own homes. People who used the service had a range of support needs related to old age, dementia and physical disabilities. At the time of our inspection 26 people received personal care from the provider.

The service had a registered manager. 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.’

People told us they felt confident that the service provided to them was safe and protected them from harm. Staff told us the registered manager actively promoted an open culture amongst them and made information available to them to raise concerns. We found that medicines were managed and monitored effectively within the service. Assessments had been undertaken to identify any issues that may put people using the service at risk.

Staff were provided with an induction and supervision allowing them to understand fully their roles and responsibilities. There were a suitable amount of staff available to deploy who had the skills, experience and training in order to support people and meet their needs.

Staff had access to a range of training to provide them with the level of skills and knowledge to deliver care safely and efficiently. The registered manager was responsive in sourcing specific training for staff when it was needed. People were supported to take food and drinks in sufficient quantities to prevent malnutrition and dehydration.

Care plans contained information about people’s abilities, preferences and support needs. People felt that staff established their consent before providing care. People felt that staff acted in a way that maintained their privacy and dignity whilst encouraging them to remain as independent as possible. Systems were in place for people and their relatives to raise any concerns they had or to make a complaint.

People and staff spoke highly of the leadership skills and inclusive nature of the registered manager. The service regularly sought people’s feedback through questionnaires and phone contacts about the quality of the service. The registered manager undertook regular checks on the quality and safety of the service.

We looked at written records about medication. We also looked at the care records of three people using the service. We also looked at the records of three care staff and this confirmed that the correct process had been followed during employment and each care staff had been supported in their role.

One relative told us, 'Staff are very polite and respectful, which is nice' and 'They always ask how we are and if we need anything'. A person who had received care told us, 'The care staff always ask me if I am OK with the care and if I need anything different. They are very good.'

The three staff spoken with confirmed that checks had been made before they had started work. One care staff told us that they had spent time with senior care staff observing before they carried out care on their own. The three care staff told us that they had been offered training in all areas of their work and felt supported by the manager.

The registered manager told us that every person had a full assessment of their needs and risks before care was given. One relative confirmed that they had been part of an assessment and that if anything changed they would ask for further assessments.

People were treated with dignity and respect. One person receiving a service told us, 'Staff will do extra and stay the extra time if needed.' This meant staff listened to people's views and provided a flexible service. All relatives spoken with told us they were happy with the care provided.

People's needs were met in an individualised way by regular staff. One person told us, 'Always the same carers, they come on the dot.' One relative told us,'They let us know if different staff are coming.' People had individual care plans so staff had the information to care for people safely.

People were protected from the risks of abuse and unsafe care by ensuring staff had the skills and the knowledge to keep them safe.

The provider ensured that there was adequate monitoring of the service to ensure that people received a good service that met their needs. One relative told us, 'I complete questionnaires regularly.'