Sure Grace Ministries Care Agencies

Sure Grace Ministries Care Agencies is a domiciliary care agency. It provides personal care to people living in their own houses and flats. Not everyone who used the service received personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. CQC only inspects where people receive personal care. At the time of the inspection 20 people were receiving personal care.

People’s experience of using this service:

People were not supported by effectively deployed staff to keep them safe and to meet their needs in a timely manner. Risks to people had been identified, but appropriate risk management plans were not in place. Staff training and assessment about their English communication skills was not effective. Care plans were not person centred and did not contain sufficient information about the level of support people needed from staff. The registered manager had not encouraged and empowered staff to be involved in service improvements. The provider’s quality assurance systems were not effective.

We have made two recommendations in relation to Medicine Administration Records(MAR), and to maintain robust systems and processes, to monitor concerns raised by people.

People were protected from the risk of infection. The provider trained staff to support people and meet their needs. The provider worked within the principles of Mental Capacity Act (MCA). Staff asked for people’s consent to their care. 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.

People’s needs were assessed to ensure these could be met by the service. Where appropriate, staff involved relatives in these assessments. Staff supported people to eat and drink enough to meet their needs and staff supported people to maintain good health. Staff supported people and they showed an understanding of equality and diversity and people’s privacy was respected.

The provider had a policy and procedure for managing complaints and to provide end-of-life support to people.

The registered manager and the provider remained committed to working in partnership with other agencies and services, to promote the service and to achieve positive outcomes for people.

Rating at last inspection and update

This service was registered with us on 07/08/2019 and this is their first inspection.

Why we inspected

This was a planned comprehensive inspection.

Enforcement

We have identified breaches in relation to person centred care, safe care and treatment, staffing, fit and proper persons employed, and good governance.

Please see the action we have told the provider to take, at the end of this report.

Follow up

We will meet with the provider following this report being published, to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the 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.