- Homecare service
Sublime Care
Report from 3 April 2024 assessment
Contents
Ratings
Our view of the service
Sublime Care is a domiciliary care agency providing personal care and support to people including people with learning disabilities and/or autistic people living in their own homes. At the time of the assessment 64 people were receiving personal care. Assessment activity started on 11 April 2024 and we continued to review information submitted by the provider until 6 June 2024. During the inspection we spoke with the registered manager, the operations manager, a field supervisor, a care coordinator and 5 care workers. 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 CQC follows to make assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. Right Support: Despite most people’s experience of care being positive the provider’s processes were not always in line with best practice. Risks to people’s health and wellbeing were not always managed well and the provider did not always make the necessary referrals to external agencies when risks were identified. Right Care: Staff told us and care records showed people received person-centred care and their privacy and dignity was upheld. There were processes in place to assess people’s capacity in line with the MCA. Right Culture: The provider had a range of processes in place to gather feedback from people and staff. There were monitoring and auditing processes in place, however, these were not always effective as they had not identified all the issues we found. We have identified breaches in relation to risk management, management of medicines and good governance. We will ask the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
As part of the assessment we made calls to 10 people and 6 relatives of people receiving care to gather their feedback about the service they received. People and relatives told us staff were aware of their needs and provided them with the support they needed to keep them safe from harm. People and their relatives spoke positively about the care they received and told us staff were kind and caring and knew their needs well. People and their relatives were given opportunities to feedback about their care. When issues were raised with the provider they responded and took the necessary actions.