Semy Care Ltd received a Good rating across all five key questions at its first CQC inspection, with people and relatives reporting consistently kind, person-centred, and responsive care. Minor shortfalls were identified in medicines record-keeping, MCA documentation, and one staff member's verbal English, all of which the registered manager responded positively to address.
Concerns (4)
minor
Medication management
: “MAR charts demonstrated medicines were being administered however these did not fully meet best practice guidance and improvements are required.”
minorRecord keeping: “We found some contradictory information in care plans and there was confusing information relating to the MCA.”
minorConsent / capacity: “There was some confusing information recorded on who had legal authority to make decisions in relation to care and further improvement is required.”
minorCommunication with families: “One staff member was unable to speak with us on the telephone due to their poor verbal English.”
Strengths
· People consistently felt safe and reported kind, respectful, person-centred care from staff who attended punctually and consistently.
· Staff had been safely recruited with DBS checks and references, and received induction, training, and competency assessments.
· Care plans were detailed, individualised, and regularly reviewed with people and their relatives.
· Registered manager demonstrated strong responsiveness to feedback and had a service improvement plan in place.
· No missed or late calls reported; staff supported the same group of people ensuring continuity of care.
Quality-Statement breakdown (22)
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
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: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
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 controlGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks, and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive, and empoweringGood
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 staffGood