26 April 2023
During a routine inspection
Sylk Care is a domiciliary care service that provides care and support to 25 people living in their own homes.
People’s experience of using this service and what we found
Governance processes were not always effective in the monitoring of training and assessing staff competencies. Not all staff had received the mandatory training required to support people safely. Staff compencies in relation to moving and handling and medication administration were not assessed in line with the providers policies.
Safe recruitment policies were in place however, they needed to be more robust and appropriate references needed to be obtained.
There was limited feedback from people who used the service to allow the provider to assess the effectiveness of the support they provide.
People’s care and support needs were personalised and were reflected in their care plans. These were reviewed in line with the services policy.
Staffing levels were appropriate and people received the support from a consistent staff team.
No concerns were raised by people who used the service and their relatives. People were happy with the support they received and felt safe from abuse.
Accidents and incidents were reported and appropriate actions taken with the oversight from management.
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.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 10 October 2020 and this is the first inspection.
The last rating for the service at the previous premises was good, published on 4 December 2019.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Sylk Care on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified a breach in relation to governance. The provider failed to operate effective systems to assess, monitor and improve the quality and safety of the service.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will continue to monitor information we receive about the service, which will help inform when we next inspect.