EVJ Healthcare Ltd, a small domiciliary care service supporting three people, was rated Good across all five key questions at its first inspection. Minor issues were identified around employment history records, an unclear behaviour plan, lack of analysis of feedback forms, and clarification needed on safeguarding notifications.
Concerns (4)
minor
Record keeping
: “we noted one carer had not provided a full employment history. Action was taken during the inspection to obtain the missing information.”
minorCare planning: “when we reviewed a positive behaviour plan for a person living with dementia, it did not show they had any 'negative attitudes.' Therefore, it was not clear what the purpose was.”
minorGovernance: “At the time of the inspection there were no systems in place to analyse the three-monthly feedback forms, which would enable comparison over time and themes/trends to act on.”
minorSafeguarding: “we did clarify when notifications around safeguarding should be submitted. Notifications are information about important events the service is legally obliged to send us within required timescales.”
Strengths
· Safe recruitment practices followed and enough trained staff to meet people's needs
· Risks were assessed and managed safely with regular reviews
· Personalised care with staff who knew people well
· Registered manager was approachable, supportive and worked alongside staff to maintain oversight
· Staff received mandatory and specialist training including catheter care and dementia support