Solsken Limited

Updated 18 January 2023

The service is operated by Solsken Limited. It is based in Sheffield, South Yorkshire but operates nationally. The service provides care to individuals with complex care needs in their own homes. Solsken Limited are commissioned to provide care under the NHS continuing healthcare budget. At the time of our inspection the service provided care to six clients.

The service has a registered manager in post and the service registered in December 2019, although it had been registered previously at a different location. The service is registered to provide the following regulated activities:

• Treatment of disease, disorder or injury
• Personal Care

We have inspected Solsken Limited two times since it registered at this location. This service was placed in special measures in July 2021 and at our last inspection in February 2022 the service remained in special measures and we issued eight requirement notices in relation to the following breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014:

• Regulation 12 safe care and treatment

• Regulation 16 receiving and acting on complaints

• Regulation 17 good governance

• Regulation 18 staffing.

Updated 18 January 2023

We carried out this short notice announced inspection of this service because at our last inspection in February 2022 we rated the service overall as inadequate and the service remained in special measures. We gave the service short notice the day before the inspection visit because it supports people across a large area, and we needed to be sure that the registered manager would be available.

Our rating of this location improved. We rated it as good because:

• The service had made a number of improvements since our last inspection to improve the quality and safety of the service.
• The service had enough staff to care for clients and keep them safe. Staff had training in key skills, understood how to protect clients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to clients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of clients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information.
• Staff treated clients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to clients, families and carers.
• The service planned care to meet the needs of local people, took account of clients individual needs, and made it easy for people to give feedback. People could access the service when they needed it.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of clients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with clients and the community to plan and manage services and all staff were committed to improving services continually.
• We found the provider was embedding a supervision process that sought to meet the needs of the staff as a priority. The supervision process focused on points of contact for staff which included clinical and managerial supervision but also included more focused and individualised sessions in terms of probation meetings, welfare checks, spot checks, themed supervisions, team meetings and appraisals.
• We found the providers use of information technology in the community was maintaining good quality records and managing effective communication between staff and managers. There was good governance, audit and oversight of this.

Updated 18 January 2023

Our rating of this service improved. We rated it as good. See the overall summary for details.