Sunnybanks Home Care Service

The Care Quality Commission (CQC) only inspects the service being received by people provided with personal care, where they do we also take into account any wider social care provided.

The registered provider completed most of the care calls.

The service had not been fully developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This guidance is designed to ensure that people who use social care service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning adaptive needs/or autism to live meaningful lives that include control, choice, and independence.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

People's experience of using the service: People were positive about the service. One person said, "I love living here in my home and I get all the help I need so that I can do that." Another person said, "Great here and no problems."

People had not been fully supported in the right way to manage their financial affairs and had been placed at risk of financial abuse. We have made a referral about this matter to the local safeguarding authority. In addition, we have made a recommendation about how people's consent to the receipt of support is obtained including how they are supported to spend their money.

People did not always receive safe personal care and support. This was because people had not been fully protected from the risk of fire. We have made a recommendation about how people should be supported to be safe from the risk of fire.

Care calls were not robustly organised to ensure that people consistently received the assistance they needed.

People were not consistently supported in the right way to manage their own medicines.

There were shortfalls in the arrangements to learn lessons when things had gone wrong.

Support staff did not have all of the knowledge and skills they needed to provide people with support in line with national guidance.

There were enough support staff and safe recruitment practices were in place.

People were supported to prevent and control infection.

There were enough support staff and safe recruitment practices were in place.

People were supported to eat and drink enough to have a balanced diet.

People had been helped to receive medical attention when necessary.

Support staff were courteous, respectful and promoted people's independence.

Confidential information was kept private.

People were consulted about the practical support they received and had information given to them in an accessible way.

People's citizenship rights were respected and they were supported to pursue their hobbies and interests.

There were suitable arrangements to manage complaints.

There were arrangements to treat people with compassion at the end of their lives and to enable them to have a pain-free death.

People had been consulted about the development of the service.

Improvement action we have told the registered provider to take: We found evidence that the registered provider needed to make improvements. This was because the registered provider had not provided support staff with all the training and guidance they needed. In addition, the registered provider had not established robust systems and processes to operate, monitor and evaluate the running of the service. This had resulted in shortfalls occurring in the service.

Please see the Effective and Well-Led sections of this full report.

Please see the 'action we have told the provider to take' section towards the end of the report.