Silomarg Ltd

Updated 19 October 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 was completed by one inspector.

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.

What we did before the inspection

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 visited the two people who receive services in their home. We spoke with the director and the registered manager, who currently manage the service and provide care. We reviewed the care records of the people who receive care. We looked at two staff files in relation to recruitment and staff supervision.

After the inspection –

We continued to seek clarification from the provider to validate evidence found. We looked at training data and policies relating to the service.

Updated 19 October 2019

About the service

Silomarg Ltd is a is a domiciliary care provider providing personal care to two people at the time of the inspection. It provides personal care for people living in their own homes, so they can live as independently as possible.

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

The provider had not established systems to ensure the service was providing quality care. These were reflected in safety aspects not being completed to support risk management.

The required recruitment checks had not been completed to ensure staff were safe to work with people. Staff had not received training from the providers training programme. Any training received from other providers in relation to their role had not been reviewed to reflect staff competency.

Risk assessments were not in place to consider the safety of the environment or the support they may require for their long-term conditions. Reviews had not been completed to consider any changes to the care requirements or care plans being updated when people’s care needs changed. Measures had not been taken in respect of infection control to reduce the risk to people when they received care.

People told us they enjoyed the company of the staff. They had established a relationship as they had consistent staff to support them. These staff demonstrated an understanding of respecting their dignity. People remained in control of their health care 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; the policies and systems in the service supported this practice.

Care plans had not been reviewed or any updates completed to reflect the persons changing needs. There was a complaints procedure, however to date this had not been used. No one was requiring end of life care; however, this could be arranged if needed.

Partnerships had been developed with local authorities to review how the service could support packages of care.

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 16 February 2018 and this is the first inspection.

Enforcement

We have identified four breaches in relation to safe recruitment, safety in relation to risk assessing, training of staff and quality and improvement at this inspection.

You can see what action we have asked the provider to take at the end of this full report.

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.