SureCare Chelsea & Fulham, a domiciliary care agency supporting children and young people with disabilities, was rated Good across all five key questions at its first inspection. Minor improvements were recommended around fully meeting the Accessible Information Standard, clarifying moving and handling risk assessments involving family members, and adding more detail on dietary preferences.
Concerns (3)
minor
Communication with families
: “The provider was not fully meeting the AIS... did not have access to alternative forms of care plans which would allow them to implement this promptly if required.”
minorCare planning: “Risk assessments were not always clear on how moving and handling was conducted with the support of family members and how this changed the staffing levels necessary for particular tasks.”
minorPerson-centred care: “Care plans did not always contain detailed information about people's preferred food and drinks”
Strengths
· Effective safeguarding processes and a culture where staff feel confident to raise concerns
· Safe medicines management using electronic MAR with audits and competency checks
· Consistent staff supporting each person, building rapport and understanding needs
· Personalised care planning reviewed in response to changing needs
· Positive, open culture with strong staff support and career development
Quality-Statement breakdown (21)
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, 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; supporting people to access healthcareNot 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: Meeting people's communication needsNot rated
responsive: Planning personalised careNot rated
responsive: Improving care quality in response to complaints or concernsNot 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 staff; continuous learning and improving careNot rated