First inspection of Realm Staffing Solutions, a small domiciliary care agency supporting three to four people, rated Good overall and across all five key questions. Inspectors found safe, person-centred care with trained, supported staff, robust recruitment, appropriate medicines management and engaged leadership embedding good practice before growth.
Strengths
· Relatives reported people felt safe and well supported, with reliable, punctual staff and no missed visits
· Robust recruitment process including criminal record checks and references before staff started
· Staff trained in medicines administration with competency assessments and management spot checks/audits
· Staff received regular supervision, competency checks and a full induction including shadowing
· Mental Capacity Act principles followed, with consent recorded in care plans and MCA training for staff
Quality-Statement breakdown (24)
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: induction, 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: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Supporting people to develop and maintain relationships to avoid social isolationNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive, person-centred, open, inclusive and empowering cultureNot rated
well-led: Duty of candour; clear roles and understanding of quality, risks and regulatory requirementsNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated