Sovereignty Care Ltd's first inspection rated the service overall Good, with four of five key questions rated Good; Well-led was Requires Improvement due to ineffective auditing and inconsistent, insufficiently detailed record-keeping in risk assessments and daily care notes. The provider received recommendations to seek guidance on risk assessment recording and effective audit processes.
Concerns (4)
moderate
Care planning
: “Risks were not always fully assessed...risks identified were not fully documented.”
moderateRecord keeping: “Audits were not always effective in ensuring records were consistent and detailed.”
moderateGovernance: “Audits were not always effective in ensuring records of people using the service and staff were consistent, relevant and accurate.”
minorPerson-centred care: “Daily care notes described the care provided, however, these did not describe choices, such as choice of clothing.”
Strengths
· Staff had safeguarding training and knew how to recognise and report abuse, including whistleblowing procedures.
· Recruitment checks including DBS and references were carried out to ensure staff suitability.
· Care visits took place as planned; relatives confirmed staff were punctual and stayed for the full duration.
· Staff completed mandatory training covering moving and handling, medicines, MCA, dementia, and autism awareness.
· People were treated with dignity, respect and kindness; relatives spoke highly of staff.
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staff; continuous learning and improving careGood