About the service Sylviancare Bracknell and Ascot provides personal care to people who live in their own homes in the community. The service offers personal and social care to people within Bracknell, Ascot, Sunningdale, Crowthorne and surrounding areas. At the time of the inspection, the service supported 34 people and 17 staff were employed.
Sylviancare Bracknell and Ascot can support younger and older adults, people living with dementia, people living with learning disabilities and autism and people that may have sensory impairments, physical disabilities or a diagnosed mental health condition.
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
There were several safeguarding events where incidents were previously not adequately reported by care workers and logged or acted on by the registered manager. There was evidence that the service was working together with the safeguarding authority to make improvements. Recent concerns were better recorded and acted on. There was clearer evidence of steps taken to protected people. People and relatives felt the care was safe. People’s medicines were managed safely. There were enough staff deployed to meet people’s needs. Infection prevention and control helped protect people.
Staff had the necessary skills and competency to provide effective care. People’s likes, dislikes and preferences for care were recorded and respected. Community social and healthcare staff were involved in people’s care when required. Consent was obtained and recorded in the right way.
People and families commented that staff were kind and caring. They stated that they were included in the care and that staff promoted people’s independence where able. Staff respected people’s dignity and privacy. People and relatives stated they would recommend the service to others. They stated the care workers had a positive impact on their lives, and some had formed caring bonds.
Care plans were person-centred. They contained the necessary information for staff to provide personal care in accordance with people’s needs. The management of complaints documentation was previously fragmented and hard to follow. The registered manager and field care supervisor had made improvements to keep complaints documentation together and in a clear format.
Oversight of the service’s processes and care provision required some improvement. The registered manager lacked some knowledge and experience in relation to protecting vulnerable adults, the duty of candour and notification requirements. The registered manager acknowledged they needed to undertake further learning in these areas to improve their skills. They already had a plan of how they would achieve this, and there were already some improvements underway. The field care supervisor had completed spot checks of care worker practices. The service had sent surveys to people and their relatives to gather views. The service was proactively working with the safeguarding authority and commissioners to make necessary changes.
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.
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 30 May 2019 and this is the first inspection.
Why we inspected
This was a planned inspection.
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.