Sama Care Ltd improved from Requires Improvement to Good across all five key questions, with the provider no longer in breach of Regulation 12 and having acted on all previous recommendations. Minor gaps remained around staff understanding of the Mental Capacity Act and clarity for families about who the registered manager was, both of which were being addressed at the time of inspection.
Concerns (2)
minor
Consent / capacity
: “Staff did not always demonstrate they understood the principles of the MCA. The registered manager had planned a refresher MCA training course for all staff to complete.”
minorCommunication with families: “Relatives provided mixed feedback about the management of the service. This was due to confusion as to who the registered manager was.”
Strengths
· Effective risk assessments in place for people with epilepsy and diabetes, with clear staff guidance on response procedures.
· Safe recruitment practices followed with full DBS, right-to-work, identity and reference checks completed before staff commenced work.
· Medicines managed safely with staff trained and competent; errors reported and recorded promptly.
· Staff completed the Care Certificate and received regular supervision, appraisals and role-relevant training.
· Care plans were personalised, regularly reviewed, and included life history, communication needs and preferred name.
Quality-Statement breakdown (22)
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuseGood
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: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies; supporting people to live healthier lives and access healthcareGood
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 control and to meet their needs and preferencesGood
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: How the provider understands and acts on the duty of candourGood
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 requirementsGood
well-led: Engaging and involving people, the public and staff; continuous learning and improving care; working in partnershipGood