Archived: SRP Healthcare

SRP Healthcare is a small domiciliary care agency based in Essex, providing personal care to people living in their own homes. At the start of the inspection, two people were being supported by the service.

People’s experience of using this service and what we found

Governance and oversight systems in some areas required further development. We did not find this had an impact on the quality of care provided due to the small number of people using the service, but the provider was aware these would need to be embedded going forward. There had been no registered manager in post since April 2020, although the provider had attempted to recruit, this had been unsuccessful.

People received assessments prior to joining the service to ensure their needs could be met. People were actively engaged in meal planning, shopping and preparation to meet their nutritional needs. Staff received induction, shadowing and training to support their development in the role. Supervisions were carried out but not always recorded.

We have made a recommendation about the recording of supervisions for staff development.

Systems and processes were in place to safeguard people from the risk of harm. Risk assessments were carried out, without restricting people’s independence. Medicines were managed safely, and people received medicines as prescribed. Infection prevention and control measures were in place, including access to staff COVID-19 testing and personal protective equipment (PPE). Staff were recruited safely, and the relevant employment checks carried out.

Staff were described as caring and compassionate, empowering people to achieve good outcomes to support their health and wellbeing. People were supported to achieve their ambitions and maintain their independence.

Care plans were person-centred and regularly reviewed to ensure they reflected the most up-to-date information on people’s care and support needs, choices and preferences. The provider responded to complaints, concerns and incidents to improve outcomes for people. Information was provided to people and their representatives in an accessible way.

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 autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support:

• The model of care and setting maximises people’s choice, control and independence, through provision of 24-hour support in people’s homes and comprehensive care planning.

Right care:

• Care is person-centred and promotes people’s dignity, privacy and human rights, including advocating for people to support them to achieve their ambitions and be independent.

Right culture:

• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives; feedback from people’s relatives stated this to be the case.

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 13/01/2020 and this is the first inspection.

The last rating for the service at the previous premises was good, published on 27 May 2017.

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.