Kingsway Care Ltd, a domiciliary care agency supporting 29 people with personal care, was rated Good across all five key questions at its first inspection. Minor improvement areas were noted around PRN medicine guidance, food/fluid recording visibility for staff, and late call monitoring, all of which the registered manager was actively reviewing.
Concerns (3)
minor
Medication management
: “Some care staff told us guidance in people's records could be more detailed. For example, when supporting 'as required' medicine administration, known as PRN”
minorRecord keeping: “Care staff could not accurately see how much people had eaten and drunk when they visited, in order to respond, so the registered manager was reviewing their system for improvements.”
minorMissed or late visits: “The registered manager had recently reviewed and was implementing a system for monitoring late calls using the same electronic record system.”
Strengths
· Kind, caring and friendly staff praised by people and relatives
· Robust induction and training programme including the Care Certificate
· Person-centred care plans with pen pictures and 'word clouds'
· Safe recruitment processes including DBS checks and references
· Positive culture of teamwork and open communication
Quality-Statement breakdown (20)
safe: Using medicines safely; Learning lessons when things go wrongGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
effective: Supporting people to eat and drink enough and access healthcareGood
effective: Assessing people's needs and choices; delivering care in line with standardsGood
effective: Staff support: induction, training, skills and experienceGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to meet needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive, person-centred, inclusive culture; partnership workingGood
well-led: Duty of candourGood
well-led: Managers and staff being clear about roles, quality, risks and regulatory requirementsGood
well-led: Engaging and involving people, public and staff; continuous learning and improving careGood