First inspection of newly registered domiciliary care agency rated Good across all five key questions, with safe medicines, person-centred care and supportive leadership. Minor concerns noted around late calls due to insufficient travel time scheduling and limited Covid-19 information shared with people.
Concerns (3)
minor
Missed or late visits
: “Travelling time was not always built in between each visit, this created some calls to be late”
minorStaffing levels: “People told us there were mostly enough care staff to maintain the schedule of visits but on occasion some calls had been delayed.”
minorCommunication with families: “I have not been given any information though on what would happen if I got Covid or one of the carers did.”
Strengths
· Safe medicines management with regular audits and competency assessments
· Person-centred care plans reflecting individual needs and preferences
· Safe recruitment practices including DBS checks
· Staff received regular supervision, training and felt supported
· Strong infection prevention practices and PPE use
Quality-Statement breakdown (22)
safe: Staffing and recruitmentNot rated
safe: Preventing and controlling infectionNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Using medicines safelyNot 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 to provide consistent, effective, timely careNot 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 controlNot rated
responsive: Meeting people's communication needsNot 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 culture that is person-centred, open, inclusive and empoweringNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Working in partnership with othersNot rated