Background to this inspection
Updated
25 January 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was completed by one inspector.
Service and service type
This service is a domiciliary care agency and also provides supporting living. It provides personal care to people living in their own houses and flats and specialist housing.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with the two registered managers, a director, and the office manager, as well as four staff members including a member of the night staff team. We spoke with one person who was using the service and two relatives. We reviewed a range of documents including two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We contacted a professional who has worked with the service.
Updated
25 January 2022
About the service
Saroia staffing services is a Domiciliary Care Agency (DCA) and Supported Living Service registered to provide personal care. People were supported with their personal care and daily living needs to enable them to live in their own homes and promote their independence. At the time of our inspection, the service supported seven people, many of whom were on an end of life pathway.
People’s experience of using this service and what we found
Quality checks were in place to monitor the safety and effectiveness of care provided, However, these had not detected a small number of inaccuracies noted during our inspection. The registered managers made the relevant updates during the inspection. Daily notes were not being audited and did not often include people’s emotional well-being. The registered managers had recently recruited a new manager to address these issues and help develop their electronic recording system.
A person receiving care and relatives, told us they were happy with the service provided and would recommend the service to others. They told us they and their family members were supported by a consistent staff team who understood how to keep them safe.
People were supported by staff who had been safely recruited and appropriately trained and supervised. People were protected against the risk of avoidable harm and abuse. People received safe and appropriate support to take their medications.
People received consistent care from a small group of staff who knew their care needs well. Staff treated people with dignity and respect and upheld their right to privacy. People were supported to have as much choice and control in their lives as possible, they were supported in the least restrictive way possible and in their best interests.
Staff spoke with compassion and respect about the people they supported. Feedback about staff was very positive. One relative told us; “The staff are absolutely lovely; they are a delight with [my relative].”
People’s care was planned and reviewed around their needs, wishes and preferences. A person receiving care and relatives told us, they knew how to complain but had not had cause to do so. They told us the service regularly contacted them to ensure that everyone was happy with the service received and they felt confident to speak to staff and management about any concerns they had.
Staff described the registered managers as supportive and easy to contact. One staff member told us; “[The managers] are perfectly approachable, they always communicate well and guide us.” A person receiving support and relatives told us they had confidence in the management team and felt comfortable to raise any issues or concerns.
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.
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 21/06/2014, it was registered at new premises on 18/09/2019.
The last rating for the service at the previous premises was Good, published on 29/05/2019. This is the first inspection at the new location.
Why we inspected. This was a planned inspection based on the need for a rating at the service’s new location.
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.