15 June 2018
During a routine inspection
Sagecare (Peterborough) is a domiciliary care agency that provides personal care to people living in their own houses and flats in the community. It provides a service to older adults. At the time of our visit 158 people were using the service.
Not everyone using Sagecare (Peterborough) received a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
There was a registered manager at this agency who was supported by an office manager and other senior staff. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’
At our previous inspection between 7 and 9 June 2017 we rated this service as Requires Improvement in relation to medicine management and care plans. The rating has improved to Good at this inspection. Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions Well-led to at least Good. They told us that they would meet the legal requirements by 30 September 2017.
The provider’s monitoring process looked at systems relating to the care of people, where issues were identified action was taken to resolve these. People’s views were sought and action put into place to improve issues that were raised.
Medicines were administered safely and there was clear information and guidance in people’s care plans for staff to follow when giving medicines in specific ways. Care plans were written in detail and contained guidance for staff to follow.
Staff knew how to respond to possible harm and how to reduce risks to people. Lessons were learned from accidents and incidents and changes to practise were shared with staff members to reduce further occurrences. There were enough staff who had been recruited properly to make sure they were suitable to work with people. Staff used personal protective equipment to reduce the risk of cross infection to people.
People were cared for by staff who had received the appropriate training and had the skills and support to carry out their roles. Staff members understood and complied with the principles of the Mental Capacity Act 2005 (MCA). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People received support with meals, if this was needed.
Staff were caring, kind and treated people with respect. People were listened to and were involved in their care and what they did on a day to day basis. People’s right to privacy was maintained by the actions and care given by staff members.
There was enough information for staff to contact health care professionals if needed and staff followed the advice professionals gave them. People’s personal and health care needs were met and care records guided staff in how to do this.
A complaints system was in place and there was information available so people knew who to speak with if they had concerns. Staff had guidance to care for people at the end of their lives if this became necessary.
Further information is in the detailed findings below