Background to this inspection
Updated
27 July 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
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 houses and flats.
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
The registered manager was given 48 hours’ notice of the first day of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be in the office to support the inspection. The registered manager was given 24 hours’ notice of the second day of the inspection.
Inspection activity started on 13 June 2019 and ended on 18 June 2019. We attended the service's office on both days of the inspection.
What we did: before the inspection
We looked at information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection
We spoke with the registered manager, we looked at five people’s care records and three staff files as well as records relating to quality assurance and management of the service.
After the inspection
We spoke with three people, two relatives and two staff members.
Updated
27 July 2019
About the service
Savannah Care is a service which provides support to people in their own home. 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. At the time of our inspection there were six people receiving personal care.
People’s experience of using this service and what we found
People felt safe and were supported by staff who knew how to protect them from abuse and avoidable harm. People received their medicines when they were due. People were protected from the risk and spread of infection.
Staff arrived for pre-arranged visits on time and stayed for the length of time agreed. People were supported by the right number of staff to meet their needs. People were supported by staff who were well trained and received performance reviews.
Staff followed the recommendations of external healthcare professionals to help people maintain their health. People were supported eat the meals of their choice and to have enough to eat and drink. The registered manager worked well with people’s GP, families and the local authority.
People's needs were assessed and they received care which met their needs. People were satisfied with the quality of care they received. Staff were kind and caring and treated people with respect. They 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.
The registered manager and staff understood the responsibilities of their role. There were systems in place to obtain people's views and people knew how to make a complaint. There were appropriate systems in place to assess and monitor the quality of care people received but these were not consistently used or well-organised.
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
The last rating for this service was requires improvement and there were two breaches of regulations. The last inspection report was published in July 2018. Following the inspection, the provider completed an action plan to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We inspected Savannah Care on 13 and 18 June 2019. 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.