The Care Quality Commission

Archived: Bath & North East Somerset

Suite 109, The Tramshed, Beehive Yard, Walcot Street, Bath, Somerset, BA1 5BB (01225) 731464

Provided and run by:
Saxon-Lo Limited

All Inspections

6 October 2011

During an inspection looking at part of the service

We carried out this review to check that the provider had made improvements following our compliance review in July 2011. We visited the service but we did not speak to people who use the service as part of this review. We met and talked with the manager and three members of staff who told us the service had reviewed risk assessments for people and developed a procedure for bathing. Staff had received training and supervision to support them in delivering care and support to people using the service.

29 July and 1, 2 August 2011

During an inspection in response to concerns

We visited Saxon-Lo Limited, t/a SureCare Enabling (Bath and Mendip) on 29 July 2011, 1st August 2011, and 2nd August 2011, in response to a safeguarding alert and a notification made by the service of a serious injury to a person using the service.

We did not talk with any people who use the service during this inspection. The service was previously visited in April 2011 and we talked with people who used the service at that time. When the previous inspection was carried out, people who use the service and their families were very positive of the service provided by SureCare Enabling.

We met and talked with five members of staff, including the manager of the service. We found that members of staff have not received adequate training to carry out their roles. We also found that members of staff are not clear about safeguarding vulnerable adults, or whistle-blowing, and not always comfortable with raising concerns with management. We are concerned that care is not being delivered to people who use the service safely as members of staff do not know about safe water temperatures or how to test for them.

We found that the service does not have enough members of staff to run the service safely.

7, 11 April 2011

During a routine inspection

People told us they like to go on the bus and they often do this with the care worker and go into the city for a half day trip. Relatives told us that they are pleased to have care workers that are of similar age to their relative as this has enabled them to go on trips and be involved in community activities. They told us that care workers have taken them on day trips on the bus once they have become confident with the care needs. Relatives also told us they felt confident that any concerns or changes are dealt with quickly and that all the professionals involved in care communicate together and attend six monthly reviews. We spoke to people who told us they receive support to have a balanced and nutritious diet. They told us that they have a chat with the care worker about what they would like to eat then they make a shopping list and go to the shops. When they come home a meal is prepared sometimes by the care staff and other times by them with some assistance. We spoke to people about their medication and they told us that they mostly remember to take their tablets and the staff remind them. We spoke to a relative who told us that new staff did not come to visit on their own until they had been accompanied experienced staff several times.

The service provides support to people with a range of disabilities, they are supported to be able to live as they wish within the community. People have an assessment which generates the plan of care. The plan of care is then broken down into achievable steps to maximise support for people to be healthy and be safe. There are long term and short term goals with timescales to enabling monitoring to take place.