First inspection of newly registered domiciliary care agency supporting two people, rated Good across all five key questions with positive feedback on safety, caring approach and person-centred care. Areas for development included formalising audit records and expanding the staff training programme beyond online and Care Certificate courses.
Concerns (2)
minor
Governance
: “Auditing and oversight checks were being carried out by the registered manager... However, these had not been formalised by recording the checks and findings into audit templates.”
minorStaff training: “further development of the providers training programme was needed so they could carry out more specialised training.”
Strengths
· Robust safeguarding systems and staff understanding of procedures
· Person-centred risk assessments with clear guidance for staff
· Robust recruitment processes with appropriate checks
· Punctual and reliable visits praised by people and relatives
· Caring culture promoted by registered manager who provides care directly
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongNot 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
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 diet; Supporting people to live healthier lives, access healthcare services and supportNot 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 control and to meet their needs and preferencesNot 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: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving careNot 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: Working in partnership with othersNot rated