Sahan Cares C.I.C

Updated 9 April 2022

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

The inspection was conducted by one inspector. An Expert by Experience supported the inspection by making telephone calls to people using the service and their relatives. 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

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

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 it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 23 March 2022 and ended on 31 March 2022. We visited the location’s office on 31 March 2022.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We looked at all the information we held about the provider including their action plan following the last inspection.

We contacted four people who used the service and the relatives of five other people to ask for their feedback and experiences.

During the inspection

We met the registered manager and operations manager. We looked at records the provider used for managing the service, which included the care records for six people who used the service, medicines administration records, records of complaints, incidents, meeting minutes and audits. We also looked at the recruitment, training and support records for six members of staff.

After the inspection

We reviewed written feedback from 12 members of staff.

Updated 9 April 2022

About the service

Sahan Cares C.I.C is a domiciliary care agency providing personal care and support to people living in their own homes in the London Borough of Hillingdon. The organisation is a family run business, and this is their only location. They operate a social enterprise offering employment to refugee women within the local community.

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 the inspection, 68 people were receiving personal care support.

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

People using the service and their families were happy with the care they received. They told us they had been involved in planning their care and were able to make choices. They said the staff respected them and treated them with kindness. They had good relationships with the staff.

The staff were well supported. They had the training and information they needed to care for people safely and well.

People received their medicines safely and as prescribed.

People's care was appropriately planned, and their needs were met in a personalised way. The provider had assessed and planned for risks to their safety and wellbeing.

There were effective systems for monitoring and improving the quality of the service, which included responding to and learning from complaints, incidents, accidents and safeguarding alerts. There were regular audits and analysis of the service. The staff were well informed through team meetings. Staff were supported to develop new skills.

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 requires improvement (published 5 August 2021)

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an announced comprehensive inspection of this service on 31 March 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Sahan Cares C.I.C 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.