Background to this inspection
Updated
11 March 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 Health and Social Care Act 2008.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
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 48 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.
Inspection activity started on 16 February 2022 when we visited the service office and ended on 25 February 2022.
What we did before the inspection
We reviewed the small amount of information we had received about the service since registration. We sought feedback from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with the relative of the one person who used the service, about their experience of the care provided. We spoke with the registered manager and with the one member of staff who was providing care. We reviewed the care plans and risk assessments of the one person who used the service. We reviewed one staff file to look at the recruitment process. We also looked at the staff training and supervision records.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
11 March 2022
About the service
Serenity Healthcare Services is a domiciliary care agency providing personal care to people in their own homes. Following registration with the Care Quality Commission in March 2020 the service went into a period of dormancy and did not provide care to any service users. However, from September 2021 the service became active again. At the time of our inspection there was one person receiving personal care from the service. Serenity Healthcare Services also provides care staff for other care settings, such as residential homes. This part of the service is not regulated by the Care Quality Commission so was therefore not included in our inspection.
People’s experience of using this service and what we found
The one person who received support from the service spoke very highly about the organisation and its staff. They told us they were treated with kindness and compassion.
Staff had received training in safeguarding adults and children and knew how to keep people safe. The service had recruitment processes in place to ensure suitable staff were employed. Staff followed safe infection control practices.
Staff had received a range of training to give them the skills knowledge to care for people in their own homes. The registered manager supported staff through regular supervision meetings.
Care plans were person-centred. However, improvements were needed to care documentation to ensure the daily records accurately reflected care that had been provided. The service had yet to implement a proper auditing process.
We have made a recommendation that the service review its care documentation and auditing process.
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
Rating at last inspection
This service was registered with us on 24 March 2020. This is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.