15 April 2021
During an inspection looking at part of the service
Secure Healthcare Limited is a care agency providing personal and complex nursing care to 65 people at the time of the inspection, some of whom where children. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People did not always have regular staff to enable them to build relationships with staff and to ensure staff knew them well. The provider had recruited more staff to make improvements to this area. People and their relatives found communication within the service to be poor. People were not always able to contact staff out of hours where there were concerns and office staff did not always return people's calls.
People were supported by staff who were trained and recruited safely. People had care plans in place which detailed their needs and gave staff clear guidance to meet them. People were supported to receive their medicines as they were prescribed. People were safeguarded from potential harm and abuse.
Quality assurance tools were in place and were effective at identifying where improvements were required to people's care. People and their relatives were encouraged to give feedback about their care. Staff worked alongside external professionals, where required to support people's care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 04 April 2019).
Why we inspected
The inspection was prompted in part due to concerns received about the quality and continuity of care, communication and the management of the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has remained the same. This is based on the findings at this inspection. We have found evidence that the provider needs to make improvements. Please see the well led section of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Secure Healthcare Limited on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.