Sincere Care Limited was rated Good overall at its September 2016 inspection, with two regulatory breaches under the Safe domain: inaccurate and incomplete moving and handling risk assessments (Regulation 12) and the registered manager's failure to receive safeguarding training or understand reporting obligations (Regulation 18). All other key questions were Good, with strengths in personalised care planning, staff training, medicines management, and quality assurance systems.
Concerns (4)
criticalSafeguarding: “The registered manager had not undertaken training about safeguarding adults and did not have a good understanding about his responsibility for reporting any allegations of abuse.”
criticalCare planning: “The risk assessment said that a wheel chair, a high chair and a walking stick were used by the person. However, the provider told us this information was inaccurate.”
minorRecord keeping: “In three care plans the next of kin details were not completed. The registered manager told us this was an 'oversight'.”
minorComplaints handling: “The complaints procedure did not include details of who people could complain to if they were not satisfied with the response from the service.”
Strengths
· No missed calls reported; people confirmed staff were punctual and timekeeping was good
· Medicines managed safely using blister packs with accurate MAR charts checked by the provider
· Robust staff recruitment procedures including interviews, references, ID checks and DBS checks
· Care plans were personalised and regularly reviewed, reflecting people's changing needs
· Staff received regular training, induction including Care Certificate, and regular supervision and appraisals
Quality-Statement breakdown (17)
safe: Moving and handling risk assessmentsRequires improvement
safe: Safeguarding adults knowledge and training (registered manager)Requires improvement
safe: Staffing levels and missed callsGood
safe: Staff recruitmentGood
safe: Medicines managementGood
effective: Staff training and inductionGood
effective: Supervision and appraisalGood
effective: Mental Capacity Act compliance and consentGood
effective: Support with nutrition and medical appointmentsGood
caring: Dignity, privacy and independenceGood
caring: Continuity of care staff and relationship buildingGood
caring: Communication and cultural sensitivityGood
responsive: Personalised care planningGood
responsive: Complaints procedureGood
well-led: Quality assurance and monitoring systemsGood
well-led: Registered manager and leadershipGood
well-led: Seeking views of people using the serviceGood
Sincere Care Limited, a domiciliary care agency in Barking and Dagenham supporting 29 people, was rated Good overall following a focused inspection of safe, responsive and well-led key questions. The service demonstrated strong person-centred care, robust safeguarding processes, well-maintained medicines records, and effective leadership with good governance and quality assurance systems.
Strengths
· People felt safe and staff could identify and report different forms of abuse including physical, mental and financial
· Medicines administration records were fully signed with no gaps and information was accessible via care planning app and hard copy
· Care plans included comprehensive, regularly reviewed risk assessments reflecting individual needs and preferences
· Management team took on caring roles to maintain close relationships with people and relatives
· Learning from incidents was shared with staff via messaging app and followed up in team meetings