My Homecare Leicester was rated Good overall at this first inspection, with Safe rated Requires Improvement due to missing condition-specific risk assessments and gaps in recruitment employment history checks. Effective, Caring, Responsive and Well-led were all rated Good, with consistent caring staff, safe medicines management and positive leadership.
Concerns (5)
moderate
Care planning
: “We reviewed four people's risk assessments and found risk assessments for Diabetes and Epilepsy were not in place.”
moderateCare planning: “staff did not have information and guidance on how to identify signs of deterioration, or what to do in an emergency.”
minorGovernance: “Recruitment processes were not always consistently applied. We reviewed three staff files and found gaps in employment history.”
minorLeadership: “At the time of our inspection there was not a registered manager in post.”
minorCommunication with families: “Some people felt however communication about changes to the service, for example, were not always regularly provided and could be improved.”
Strengths
· People and their relatives felt safe with consistent staffing teams who had enough time for visits.
· Medicines were administered safely by trained staff with competency checks and audits in place.
· Caring and compassionate staff who promoted dignity, independence and person-centred care.
· Effective infection prevention and control with proper PPE use.
· Open, transparent leadership culture with regular supervisions, audits and partnership working with health professionals.
Quality-Statement breakdown (22)
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Engaging and involving people using the service, the public and staff; Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated