Smarta Services Ltd

“During the assessment, we identified 3 breaches of regulations. In relation to, safe care and treatment, good governance, and the provider’s failure to submit required notifications to CQC. Medicines were not always managed safely, care records were not always comprehensive, and staff did not consistently identify risks. Assessments relating to risks lacked sufficient detail and accuracy to support staff to keep people safe, including information held in people’s homes about managing fire safety and diabetes. The provider’s quality monitoring systems were not robust enough to ensure they identified and addressed shortfalls promptly. Ineffective governance arrangements contributed to these breaches.”

“The provider generally followed safe recruitment processes, and staff completed some training relevant to their roles. However, we identified gaps in training, including diabetes and dementia care. Staff told us they treated people equally and without discrimination. The provider had systems in place for people to raise concerns or complaints.”

“Medicines records did not follow best practice for ‘as required’ medicines or the application of topical creams. Information held in people’s homes about managing fire risks also required improvement. Staff told us they felt supported and received supervision and attended team meetings to discuss peoples care needs. People had choice and control and staff involved them in planning their care. Staff treated people with kindness and demonstrated a good understanding of their needs. There were enough staff to meet people's needs. A culture of kindness, inclusion, and respect was promoted within the service which supported person-centred care.”

“We asked the provider to submit an action plan outlining how they will address the concerns identified during this assessment.”