About the service Sublime Care Solution is a care at home service providing personal care to younger and older adults who may live with dementia, a learning disability, mental health needs, physical disabilities or a sensory impairment. At the time of our inspection the service was supporting 12 people.
Not everyone who uses the service may receive 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
Quality monitoring systems were in place although improvements were required to be made in respect of record keeping related to people’s care and risk assessment records.
The provider was open and honest and readily discussed steps they were taking to address any issues we raised. Whilst the service had a registered manager people did not know who they were as the provider and seniors had managed on going contact with people. The registered manager had received an extended period of close support from the provider since the agency commenced business. They said they were now going to take a more active role on the day to day management of the agency.
People were protected from potential risks as staff had a good awareness of what these were and how to mitigate them. However, people’s risk assessments did not always include the information staff required to care for people safely.
Overall, people were satisfied with the arrangements for management of their medicines. However, we have made a recommendation about the recording on medication administration records.
People told us they were supported to have choice and control of their lives and staff supported them where possible in the least restrictive way possible and in their best interests; whilst the policies and systems in the service supported this practice there was room to improve people’s individual records related to what specific decisions they could make .
People were supported by enough staff, who were caring and had developed good relationships with them. Staff showed respect for their rights, privacy, dignity and independence.
Checks of staff when employed were completed they were safe to work with people who used the service, although there was some scope to improve some aspects of record keeping.
People felt able to share their views with the provider and staff and people felt if they raise any concerns the provider would do what they could to put things right. People told us staff were aware of their needs and preferences. People told us they had good relationships with all staff.
People were supported by care staff who had the training in areas related to people’s needs. Staff understood their role, and they felt well supported with access to regular supervision.
People's health was supported as staff worked with other health care providers to ensure their health needs were met.
People were supported by staff to have choice, and the provider's policies supported this practice.
People could raise concerns and the provider had systems in place to investigate, monitor and respond to these.
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 09/01/2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date the service was first registered
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.