- Homecare service
Archived: Sapphire Support Services Limited
Report from 24 July 2024 assessment
Contents
Ratings
Our view of the service
Sapphire Supported Services Limited is a supported living service providing personal care to people living in their own homes. Not everyone who used the service received personal care. CQC only inspects where people receive a regulated activity of personal care. We carried out our on-site assessment on 05 and 06 August and 03 September 2024. The assessment took place at the provider’s registered office which is based within a purpose-built site that can accommodate a maximum of 16 people. At the time of this assessment 4 people were receiving support with personal care. The assessment was prompted by a review of information we held about the service. We looked at 21 quality statements within the key questions of Safe, Effective and Well-led. We found 4 breaches of the legal regulations in relation to safe care and treatment, safeguarding, staffing and good governance. We found known risks were not always managed and care plans and risk assessment did not always provide sufficient guidance to staff to support some people safely. People's health risks had not been well managed or mitigated. People’s care and support plans did not reflect their needs and were not person-centred. The service was not well-led, there was a lack of governance processes such as audits in place. The provider had not ensured there was learning from the previous inspections. We found repeated failures over a number of inspections to comply with the regulations and deliver good care to people. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.
People's experience of this service
The assessment took place at the provider’s registered office which is based within a purpose-built site that can accommodate a maximum of 16 people. There is a permanent office for the management team and there is waking support staff on site 24 hours a day. People had their own individual properties (bedroom and bathroom) and shared communal spaces included a kitchen and lounge. At the time of this assessment 4 people were receiving support with personal care. We met 3 people receiving support and visited 2 supported living properties and spoke with 2 relatives. People told us improvements had been made very recently at the service, since a new manager had started. People told us they could talk to staff and felt safe living in the service. Our assessment found elements of care did not meet the expected standards and people did not always experience person-centred care. We found people were at increased risk of experiencing harm due to poor management of risks. The provider had not always ensured staff had received effective training to support people’s individual needs.