Flexi Direct Ltd, a small Oxford-based domiciliary care agency supporting 10 people, was rated Good across all five key questions at its first inspection. Minor improvement areas were noted around diabetes risk guidance, monitoring of staff COVID-19 testing, and formal documentation of action plans.
Concerns (3)
minor
Care planning
: “although risk assessments were in place, more information should be considered in respect of diabetes care”
minorInfection control: “A system to monitor the frequency and results of staff's bi-weekly COVID-19 tests had not been implemented to ensure that staff were testing in line with government guidance”
minorGovernance: “at the time of inspection an action plan had yet to be formally documented”
Strengths
· Robust recruitment processes including DBS, references and right-to-work checks
· Staff received induction, training and shadowing with regular supervision/spot checks
· Person-centred care plans regularly reviewed and reflecting people's preferences
· Approachable and supportive registered manager fostering open culture
· Monthly medicine audits and competency checks for safe medicines administration
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
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: Staff working with other agencies; supporting people to access healthcareGood
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 ensure people have choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Promoting a positive, person-centred, open, inclusive and empowering cultureGood
well-led: Understanding and acting on the duty of candourGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; working in partnership with othersGood