Adada Care Services (Cheshire) is a domiciliary care agency providing the regulated activity personal care to people living in their own homes. At the time of our assessment, 251 people were using the service. We carried out our off-site assessment of the service between 16 July 2024 and 30 September, and our on-site assessment on 16 July, 28 August and 3 September 2024. We looked at thirteen quality statements; Learning Culture; Safe systems pathways and transitions; Safeguarding; Safe and effective staffing; How staff, teams and services work together; Consent to care and treatment; Independence choice and control; Care provision, integration, and continuity; Listening to and involving people; Shared direction and Culture; Freedom to speak up; Workforce equality, diversity and inclusion and Governance, management and sustainability.
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Adada Care Services (Cheshire), a domiciliary care service supporting 114 people, was rated Good overall and across all five key questions at its first inspection. Inspectors found an open, transparent culture with well-led management, person-centred care, robust safeguarding and medicines systems, and committed staff well supported by the provider.
Strengths
· Open and transparent culture with effectively organised, supportive and well-run service
· Care workers passionate and fully committed to delivering high quality person-centred care
· Comprehensive needs assessments with full involvement of people and relatives
· Robust safeguarding, accident and incident procedures with lessons learnt and shared
· Safe medicines management with trained staff and regular competency checks
Quality-Statement breakdown (22)
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 healthcare servicesGood
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 care; respecting 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: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Duty of candour and being open and honest when something goes wrongGood
well-led: Managers and staff being clear about their roles and understanding quality performance, risks and regulatory requirementsGood
well-led: Continuous learning and improving care; engaging people, public and staffGood