Serene Healthcare Group Office

“Date of assessment: 4 October 20024 to 22 October 2024. Serene Healthcare Group Ltd is a domiciliary care agency providing the regulated activity personal care. At the time of our assessment there were 38 people using the service. We undertook an announced on-site assessment on the 4 October 2024. We undertook this assessment to ensure the provider had addressed the breaches in regulation previously identified.”

“Improvements had been made to the service, which meant there was no longer a breach of regulation. Focus had been given to improving risk management and the auditing systems of the service. This meant leaders were better at identifying and addressing shortfalls. They were clear action plans, with dates to ensure compliance. These were ongoing and incorporated learning by leaders and the staff team. Staff were recruited safely and there were enough staff to cover existing care packages. Staff received regular training and were well supported. There were systems to ensure effective infection prevention and control measures and the safe administration of medicines. Leaders promoted a learning culture and had a clear vision of the service. This was shared and adopted by staff, and people’s rights including respect, dignity and independence were promoted. Risks people faced had been identified, and actions taken to enhance safety. However, care planning did not provide staff with clear guidance about how to support any distressed behaviour. Some records regarding risk management also lacked detail. The provider was aware of these issues and was taking action to address them.”