Background to this inspection
Updated
19 September 2019
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
The inspection was completed 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 visit because it is small, and the registered manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.
Inspection activity started on 8 August 2019 and ended on 16 August 2019. We visited the office location on the 8 and 16 August 2019.
What we did before the inspection
Before the inspection we reviewed the information, we held about the service and the service provider. The registered provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law. We spoke with the local authority for any feedback that they had about the service.
During the inspection
During the inspection process we spoke with two staff, and the registered manager. We visited two people in their own homes and spoke with them about the support they received. This also helped us to observe interactions between people and staff. We also contacted a relative and a social care professional. During the office site visit we looked at records, which included three people's care and medicines records. We checked training records and looked at a range of records about how the service was managed.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found. We reviewed training data and quality assurance records.
Updated
19 September 2019
About the service
Sunshine Coast Support Ltd is a domiciliary care agency in Eastbourne. It provides support with personal care to people living in their own homes. At the time of this inspection the agency was providing personal care to 11 people. Not everyone who used the service received personal care. 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
Staff had a good understanding of safeguarding and how to protect people from the risk of harm or abuse. There were enough staff who had been safely recruited to look after people. Systems were in place to ensure people received their prescribed medicines in a safe way. People received the care and support they needed because staff knew them really well and understood their needs. They were able to tell us about people as individuals, their choices and preferences as to how they liked their care delivered.
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. Staff received training that enabled them to deliver the care that people needed. Staff received support from the registered manager and their colleagues. People's health needs were met, they were supported to have access to healthcare services when they needed them.
People were supported by staff who demonstrated kindness and had a caring approach. Staff were committed to providing care that was appropriate and ensured people were able to live their lives as they wanted. Staff knew people well and supported their independence as far as possible.
People received support that was person-centred, and systems were in place to ensure people always had a visit as scheduled. Complaints had been recorded, investigated and responded to appropriately.
There was a clear staffing structure and staff were aware of their roles and responsibilities. The registered manager took a central role in the service and led by example. She demonstrated a dedication and strong commitment to providing a quality service with people at the heart of the service. Quality monitoring systems were used to develop and improve the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (Report published 20 December 2016).
Why we inspected
This was a planned inspection based on the previous rating.
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.