Arch Healthcare Ltd received a Good rating across all five key questions at its first inspection as a newly registered domiciliary care agency supporting people with learning disabilities and autism. Two minor recording issues were identified but promptly addressed; overall the service demonstrated strong person-centred values, consistent staffing, effective governance and an exceptionally well-regarded registered manager.
Concerns (2)
minor
Record keeping
: “One person did not have the full information on their MAR which was addressed by the registered manager as soon as we brought it to their attention.”
minorIncident learning: “A recent incident had been recorded on an incident form, but it was difficult to establish from this what actually happened.”
Strengths
· People felt safe and staff demonstrated a strong understanding of safeguarding procedures.
· Consistent, reliable staffing with people receiving support from the same staff members who knew them well.
· Medicines managed safely with trained and competency-checked staff; STOMP principles understood by the registered manager.
· Staff received comprehensive induction, three months of training, regular supervision and spot checks.
· Person-centred care plans with detailed information on history, goals, aspirations, communication needs and routines.
Quality-Statement breakdown (18)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Preventing and controlling infectionGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
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: 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 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 isolation; support to follow interests and to take part in activitiesGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving careGood
well-led: Working in partnership with others; How the provider understands and acts on the duty of candourGood