ICare (GB) Limited, a domiciliary care agency in Bury supporting 37 people with personal care, was rated Good overall and in all five key questions, with Safe improving from Requires improvement. Minor issues around refresher training, staff supervision and risk assessment formatting were acknowledged and addressed by the registered manager following the inspection.
Concerns (4)
minor
Staff training
: “At the time of the inspection, not all staff refresher training was up to date.”
minorSupervision / appraisal: “some staff had not received a supervision this year. The registered manager was aware of this.”
minorCare planning: “The risk assessments did not always link to ways to mitigate risks for people.”
minorRecord keeping: “There were some staff who had little employment experience. The records did not always indicate an explanation for the gaps.”
Strengths
· Staff and relatives spoke positively about the service and felt able to raise concerns
· Safe medication administration with face-to-face training, competency assessments and a new electronic system enabling real-time monitoring
· Good infection prevention and control with adequate PPE supply
· Person-centred, bespoke care plans that respected dignity, independence and choice
· Positive culture promoted by the registered manager with good communication and staff recognition
Quality-Statement breakdown (25)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot 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: Supporting people to live healthier lives, access healthcare services and supportNot 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: Supporting people to develop and maintain relationships to avoid social isolationNot 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: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving care; Working in partnership with othersNot rated