Community Response Team Mid Hants, a reablement-focused domiciliary care service, received a Good rating across all five key questions at its first inspection in July 2023. The service demonstrated strong person-centred practice, effective multi-disciplinary working, and robust governance, with one minor record-keeping lapse following a falls incident identified and addressed through shared learning.
Concerns (2)
moderate
Record keeping
: “An investigation into 1 incident found important information in respect of a fall was not recorded. The learning from this incident was shared and monitored by senior management.”
minorMissed or late visits: “The registered manager told us people did not have a specific time allocated to receive their care...some were unhappy and said it affected the usefulness of the care they received.”
Strengths
· Effective multi-disciplinary approach to assessment and treatment planning involving occupational therapists and other professionals
· Staff were well trained in safeguarding, MCA, infection control, medication and risk management with regular competency checks
· Person-centred care with people involved at every stage of assessment and treatment planning
· Strong, supportive leadership with experienced registered manager praised by both staff and people using the service
· Effective governance and quality assurance systems with regular reviews and feedback mechanisms
Quality-Statement breakdown (22)
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Adapting service, design, decoration to meet people's needsGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
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 care; Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concerns and learning lessonsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staff, fully considering their equality characteristicsGood
well-led: Continuous learning and improving care; duty of candourGood