Sinai Care Solutions Limited

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.