Sambhana Care Ltd

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• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

The rating for the key question of caring is good. We assessed the quality statement ‘Independence, choice and control’ and this was rated as good. People were supported to be as independent as possible. Staff promoted people’s rights and gave them choices about their support, staff respected people’s choices.

This service scored 70 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Kindness, compassion and dignity during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Treating people as individuals during this assessment. The score for this quality statement is based on the previous rating for Caring.

People and their relatives told us they were given choices and those choices were respected and supported. People and their relatives told us they had been involved in making decisions about their care. They were involved in initial planning and management of care, One relative told us, " We haven't had to change the care. It's how it was when first assessed and is still working really well." Relatives told us they communicated regularly with the office staff to reduce, change or increase the level of support their loved one required. Thise changes were done well and in a timely way. All people and relatives told us staff supported independence. They had been involved in their care and were asked to make decisions about what they would like to wear, if would they like to have a bath, shower, or wash etc. Choices of food drinks were offered. Telling us, "They give [loved one] choices, would you like a shave today? Talk them through what they are going to do and they are not silent. " People were encouraged to remain as independent as possible whilst remaining safe. Care staff supervised cooking, to ensure safety whilst still enabling the person to do this themselves. "They give choices all the time, encourage to shower. Even when she is having a down day they try and encourage but if she still doesn’t want to, they respect that and offer other things such as laundry or mopping the floor." People and their relatives told us staff took time to get to know them and involved their relatives in day-to-day care and support.

There were systems in place to make sure people's choices and preferences were recorded and incorporated into their care plans. People's capacity to make decisions had been assessed and recorded, when people's relatives had power of attorney this was recorded in their care plan.

Staff described how they gave people choice, even when they knew the person well. Staff told us, " Most specify what clothes they like to wear. People are offered a choice of food for each meal. Some people with the service are on end of life care so if visits don’t usually decrease. If they need to increase visits they can. There was one patient who had to do this as they required care for the entire night on one occasion." Staff told us, "Choice of food is given so long as it is suitable, such as needing a liquid diet. Choice of drinks is given as well as a choice on what to wear. People are also given a choice of activities. They can say if they want to cancel a care visit, and also give preference to which carers they want, sometimes people have better relationships with particular carers, but they can’t give a preference of just one carer in case of leave or sickness. This makes patients happier and more willing to communicate." Another staff member told us, "People are given choice. Food choices are given as people need to be happy with what is given to them. If a person needs an extra call, their family member might be away or for any reason they can request that from the office. If they do not need a call, they would inform the office too. If they are cancelling a call and have no one with them then they will investigate further in case they still need to attend."

We did not look at Responding to people’s immediate needs during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Workforce wellbeing and enablement during this assessment. The score for this quality statement is based on the previous rating for Caring.