- Homecare service
Sugarman Health and Wellbeing - Liverpool
Report from 22 February 2024 assessment
Contents
Ratings
Our view of the service
Sugarman Health Wellbeing - Liverpool provides personal care to people with a learning disability, autistic people and those who require support with their mental health within their own homes. The assessment was announced as we needed to ensure a member of the management team was available to support the inspection. This assessment was prompted by information we held about this service. As part of our assessment, we undertook on-site visits on 5, 15, 19 and 21 March 2024. We assessed 9 quality statements under the Safe, Effective, Caring, Responsive and Well-Led key questions. 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 the Care Quality Commission (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. We checked during the assessment whether the provider was following this guidance. There were systems and processes in place to keep people safe. Safeguarding referrals were made where required and accidents and incidents were recorded. There were enough staff support people and they were recruited to the service safely. However, some people told us they received inconsistent support from some staff members. Staff received a range of mandatory training both online and face to face. However, the face to face training for some staff was out of date. Risks to people were managed safely, although there were at times, some inconsistencies in people's care plans. People's needs were assessed and reviewed regularly and their rights were respected. People gave mixed feedback on people having Independence, choice and control over their care. Governance and quality monitoring at the service was effective.
People's experience of this service
People and their relatives felt the service was safe. There were enough staff to support people and relatives spoke positively of the new manager. People gave mixed feedback on the staff who supported them. Some people spoke positively about the staff approach and felt staff understood people's needs well. However, others felt staffing was inconsistent at times, which resulted in staff not knowing people's wants and needs fully. People were supported to make their own choices and decisions, and accessed activities and areas of interest both at home and in the local community. People were supported to undertake employment and their feedback was sought to ensure improvements could be made. Staff understood the importance of promoting people's independence in the areas of living skills and community access, and this was observed during the assessment.