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Date of assessment: 18 November 2025 to 5 December 2025. Sambhana Care provides care and support to adults living in their own home. Sambhana Care Ltd had been rated Inadequate at the previous inspection and we undertook this assessment to follow up on enforcement action issued after our last assessment. At our last inspection we identified 8 breaches of regulation relating to the culture of the service, risk management, staffing, recruitment, safeguarding, governance, consent, and maintaining people’s dignity. We found there was a closed culture within the service, the provider was not open and transparent about incidents that had happened. At this inspection, significant improvements had been made, and the service was no longer in breach of any regulation. The provider had stepped back from day-to-day operations and had employed a new registered manager and new office staff, including supervisors and care co-ordinators. The service was also being over seen by a new operations manager who also is the Nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. At this inspection, we found that the service had made meaningful progress across most areas, particularly in culture, communication, training, care planning and staff supervision. People and families consistently told us they experienced kinder, more reliable care, and staff described clearer expectations under the new registered manager and nominated individual. Despite this progress, improvements had not been yet fully embedded due to time. Governance systems—introduced only recently—had not consistently identified issues, and in some cases, inspectors identified concerns that internal audits had missed. This meant leaders could not yet fully assure themselves, at time of inspection, that care was safe and consistently managed. Medicines management and risk assessment remained an area of concern. Although the registered manager had taken steps to improve practice, there were still gaps in MAR charts, incomplete audits and insufficiently detailed risk assessments. Some risks, such as the use of flammable creams, had not been appropriately assessed until raised during inspection. Once raised, these were remedied immediately. Overall, the service is moving in the right direction, and many improvements have had a positive impact on people’s experiences. The registered manager and nominated individual had created a more open, supportive and responsive culture. Governance, medicines and risk management require further time to fully demonstrate appropriate oversight and consistency. Feedback given to the registered manager and the nominated individual was accepted and acted upon immediately. This service has been in Special Measures since 16 April 2025. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a time frame within which providers must improve the quality of the care they provide. The registered manager demonstrated improvements that have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
npm run etl:reports -- --location 1-9721798311.Sambhana Care Ltd's first inspection resulted in an overall Requires Improvement rating, with breaches of Regulation 12 (safe care and treatment) and Regulation 17 (good governance) identified due to inconsistent risk assessments, incomplete medicines records, and ineffective oversight systems. Effective, caring and responsive domains were rated Good, with people reporting positive experiences and staff demonstrating compassionate, person-centred practice.
Date of assessment: 15 January 2025 to 4 February 2025. Sambhana Care provides care and support to adults living in their own home. We undertook this assessment to follow up on enforcement action issued after our last assessment. We found the quality of the service had deteriorated and there were now 8 breaches of regulation relating to the culture of the service, risk management, staffing, recruitment, safeguarding, governance, consent, and maintaining people’s dignity. We found there was a closed culture within the service, the provider was not open and transparent about incidents that had happened. These incidents had not been reported when they happened, and the provider did not provide accurate information when asked about them. Potential risks to people’s health and welfare had not always been assessed and there was no guidance for staff to follow to mitigate the risks. Staff had not been safely recruited and had not received training and supervision to make sure they had the skills to support people safely. Medicines were not always managed safely. Staff had not always felt confident to speak up when they had concerns. The provider had not followed the Mental Capacity Act 2005 when decisions were made about people’s care and support. The service was not providing person centred care and acting in people’s best interests. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we user our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.
npm run etl:reports -- --location 1-9721798311.Date of assessment: 6 August to 30 August 2024. We completed this assessment to review the rating for well led following an initial assessment in January 2024, which had not included all the quality statements in the well led key question. During the assessment we found 5 breaches of regulation in relation to risk management safeguarding, staffing and governance. The previous registered manager had left the service in May 2024, there was a new manager in post but at this assessment the quality of the service had deteriorated. There were now significant shortfalls in the oversight of the service. The provider and manager told us they had identified shortfalls, but they had not acted to make any improvements. There were no action plans in place to address the concerns. Accidents and incidents had not been fully investigated, when action had been taken, there was no evidence how the decision was made. Staff had not been recruited safely and they had not received the training and supervision to complete their role. There were no effective systems in place to recognise and report concerns of abuse and discrimination to the local authority for investigation. Potential risks to people’s health and welfare had not been assessed and there was no guidance for staff to mitigate the risk. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded.
npm run etl:reports -- --location 1-9721798311.Sambhana Care Ltd is a domiciliary care service, they support people in their own homes. The service support people with personal care and everyday tasks to remain as independent as possible. We completed this assessment between 12 January 2024 and 19 January 2024, we visited the office on the 12 January 2024. We spoke with people, relatives and staff remotely to gather their views about the service. At our last inspection, we found some shortfalls in care and management oversight of the service, at this assessment we checked to make sure improvements had been made. We assessed 7 quality statements including Safeguarding, Involving people to manage risk, Safe and effective staffing, Medicines, Independence choice and control, Equality in Experiences and Outcomes and Governance and assurance. We found improvements had been made in these quality statements since our last inspection and these were assessed as good. The overall rating of the service is now Good.
npm run etl:reports -- --location 1-9721798311.