Sinai Care Solutions Limited

Updated 19 July 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. 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 Care Act 2014.

Inspection team

The inspection team consisted of two inspectors and an 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

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

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 05 June 2019 and ended on 10 June 2019. We visited the office location on 05 and 06 June 2019.

What we did before the inspection

We reviewed information we had received about the service since it was registered. We sought feedback from the local authority who commission packages of care from the service.

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service and six relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager, the care co-ordinator, a senior carer and care workers.

We reviewed a range of records. This included five people’s care and medication records. We looked at two staff files to check that suitable recruitment procedures had been followed and staff received appropriate training. We also looked at records around the management of the service such as accidents and incidents, complaints and audits. We also spoke to two health and social care professionals about their experience of the service.

Updated 19 July 2019

About the service

Sinai Care Solutions Limited is a domiciliary care service providing personal care for people living in their own homes. At the time of inspection 20 people were receiving personal care from the service.

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

People did not always receive safe care and support. We identified a breach of the regulations due to concerns about how some people’s risks, including medicines support were managed. We identified another breach because the local authority were not always informed of safeguarding concerns to help protect people. Risk assessments were in place but were not consistently updated and lacked guidance for staff to follow. People and their relatives told us they felt safe and that there were enough staff to meet their needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; however, the policies and systems in the service did not fully support this practice. Where people needed support with their meals, relatives told us that staff did not always give the level of support required. Staff had received training and felt supported by the management of the service.

People received care and support that respected their dignity and privacy. We received positive feedback from people about the caring attitude and behaviours of individual staff.

People did not always receive person centred care. Care plans were not always up to date, and not all personalised information was completed. People were involved in their reviews and were supported to make choices about their care.

Governance systems were either not in place or not robust. This meant that systems were not effective in monitoring the quality and safety of the service. People told us that the manager was approachable and responsive.

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

Rating at last inspection

This service was registered with us on 21 October 2016 and this was the first inspection.

Why we inspected

This was a scheduled inspection based on the provider’s registration.

Enforcement

We have identified breaches in relation to Regulation 12, safe care and treatment; Regulation 13, safeguarding service users from abuse and improper treatment and Regulation 17, good governance at this inspection.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.