We undertook an announced inspection of Sceptre House on 24 and 25 July 2017. We told the provider two
days before our visit that we would be coming because the location provides a domiciliary care service for
people in their own homes and staff might be out visiting people and we wanted to be sure someone would
be available to assist with the inspection.
Sceptre House is a domiciliary care agency that provides personal care for people in their own homes. At the
time of the inspection eight people had their care funded by a local authority with four people funding their
own care.
This was the first inspection of the service since it registered with the Care Quality Commission in August
At the time of the inspection a registered manager was in post. A registered manager is a person who has
registered with the Care Quality Commission to manage the service. Like registered providers, they are
‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health
and Social Care Act 2008 and associated Regulations about how the service is run.
Risk assessments were not developed to ensure specific risks related to each person were identified and
guidance was not provided as to how to reduce any possible associated risks.
The provider had an administration of medicines policy but care workers were not always provided with
information on the MAR charts or in the care plans to ensure medicines were being applied in an
appropriate and safe way.

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