Sambhana Care Ltd

On this page

• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect. At our last assessment this key question was not assessed. At this assessment the rating is inadequate. This meant people were not treated with compassion and there were breaches of dignity; staff caring attitudes had significant shortfalls. The service was in breach of a legal regulation in relation to promoting people’s dignity.

This service scored 25 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider did not treat people with kindness, empathy and compassion, or respect their privacy and dignity. There had been incidents where people had not been treated with empathy and compassion. When some decisions had been made, including stopping a person’s visitors, this had not been decided with compassion for the person. Staff had not always treated people with compassion and kindness, they had not always requested input from healthcare professionals when necessary.

The provider did not treat people as individuals or make sure people’s care, support and treatment met people’s needs and preferences. People’s care and support had not been developed with them and care plans did not include their choices and preferences. People did not have care plans which had been developed to include individual guidance about their medical conditions including diabetes and depression. There was no information about how these conditions affected the person specifically such as their normal blood sugar range and how staff would know if they were unwell.

The provider did not promote people’s independence, so people did not know their rights and have choice and control over their own care, treatment and wellbeing. When people did not have capacity to make decisions or express their choices, staff had not found out their previous choices and preferences. Care plans did not contain information about people’s choices or how to promote people’s independence. There was no guidance for staff about how to support people to express their choices such as using pictures to aid communication.

The provider did not listen to or understand people’s needs, views and wishes. Staff did not respond to people’s needs in the moment or act to minimise any discomfort, concern or distress. There were no effective systems in place to make sure staff responded to people’s changing and immediate needs. The processes in place had not been effective when people’s needs changed. People had been placed at risk of discomfort and distress because the senior staff had not ensured staff had accurate information about their changing needs, for example, when people’s diet changed.

The provider did not care about or promote the wellbeing of their staff. They did not support or enable staff to deliver person-centred care. Staff were not given information and guidance to support people in line with their choices and preferences. The provider did not have effective systems in place to ensure staff had the skills, knowledge and competency to deliver good quality care. Staff had not received regular training or had their competencies checked. Staff did not receive regular supervision from the manager to discuss any issues or concerns they may have.