This first inspection of Chiron Healthcare at Home Northampton Branch rated the service Good across all five key questions, with safe, person-centred care delivered by a well-trained and consistent staff team. Minor improvements were noted around the level of detail in some risk assessments and mental capacity assessments, which the provider was already addressing.
Concerns (2)
minor
Care planning
: “Suitable risk assessments were in place to document any risks that were present within people's lives, although in some cases required further detail.”
minorConsent / capacity: “We saw that capacity assessments had been carried out for people using the service, although some of these required more detail.”
Strengths
· People felt safe and protected from abuse, with staff trained in safeguarding and whistleblowing procedures
· Enough staff to provide consistent, punctual care with a system to monitor missed or late calls
· Safe medicines administration via electronic system with regular management review
· Effective induction and Care Certificate training, with regular supervision and spot checks
· Person-centred care plans including 'All about me' sections and personal history
Quality-Statement breakdown (23)
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 standardsGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
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 careGood
caring: 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: 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: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood