We carried out a review of the data available to us about Same Ways Care Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Same Ways Care Limited, you can give feedback on this service.
Same Ways Care Limited is a domiciliary care service. It is registered to provide personal care to people living in their own homes in the 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 our inspection, 14 people were receiving personal care from the service.
People’s experience of using this service and what we found
People who used the service told us they felt safe. They told us staff treated them well and they knew who the registered manager was. People's relatives told us they were happy with the service. Safeguarding notifications to the relevant bodies had been made where required and appropriate action taken.
Medicines were administered safely in line with prescribed needs.
We have made a recommendation about the supply and ordering of medicines in the community.
There were suitable numbers of appropriately recruited staff available to ensure people were supported safely in line with their assessed support needs and risks.
The provider and management team had made improvements since the previous inspection and continued to learn to improve the service further. The management team were eager to learn and share good practice and this helped people to make good progress. Systems were in place to audit the care provided and to seek feedback from people involved with the service.
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 10 September 2019) and two 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 the regulations of safe care and treatment and good governance.
Why we inspected
We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements in relation to Regulations 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This report only covers our findings in relation to the Key Questions of Safe and Well-led which contain those requirements. The key question Responsive also had a breach but we ensured this was met by reviewing the Well Led section of the inspection.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. 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 Same Ways Care Limited on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Same Ways Care Limited is a domiciliary care service providing personal care to people in their own homes. At the time of the inspection 15 people were being supported with personal care.
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.
People’s experience of using this service and what we found
Medicines were not always managed safely. The systems for responding to accidents and incidents was not effective. Systems to monitor care calls had been introduced. Risks to people were identified and managed. There were systems in place to ensure the safe recruitment of staff.
The service was not always well managed. Systems for monitoring and improving the quality of the service were not effective. The registered manager had completed a service improvement plan which identified some areas of improvement. However, not all the issues we found during the inspection had been identified. The registered manager and provider had sought support from other agencies and was working with them to improve the quality of the service.
Staff had completed a range of training. Staff were not always knowledgeable about how to support people living with dementia. Staff felt supported by the registered manager. People were supported to access a range of health professionals. The provider was extremely supportive in enabling people to access equipment to improve their well-being.
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 did not always support this practice.
People were supported by staff who were kind and compassionate. Staff understood the importance of respecting people’s privacy and dignity. Staff showed respect for people’s homes. People were encouraged to maintain their independence and were involved in decisions about their care. This ensured care was delivered in the way they chose.
People were involved in the development of their care plans. Care plans guided staff in how to support people in the way they chose and included information relating to people’s specific cultural and religious needs. Staff knew people well and respected them as unique individuals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
This service was registered with us on 02/08/2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of the providers registration with CQC.
Enforcement
We have identified breaches in relation to the safe management of medicines, the management of accidents and incidents and the effectiveness of systems to monitor the quality of the service.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.