First inspection of In Home Care Havering, a small domiciliary care agency supporting five people, rated Good across all five key questions. Inspectors found safe medicines management, robust recruitment, person-centred care planning and effective leadership with no failure themes identified.
Strengths
· Risks were identified and assessed to ensure people received safe care.
· Medicines were being managed safely with MAR charts and staff competency assessments.
· Online call monitoring system in place to minimise risk of late or missed calls.
· Pre-employment checks (DBS, references, right to work) carried out before staff started.
· Staff trained in safeguarding, infection control, MCA, moving and handling, and specialist areas (dementia, epilepsy, learning disability).
Quality-Statement breakdown (22)
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Staffing and recruitmentGood
safe: Learning lessons when things go wrongGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Preventing and controlling infectionGood
effective: Staff support: induction, training, skills and experienceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
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; 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: 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 staff; Continuous learning and improving careGood
well-led: How the provider understands and acts on the duty of candourGood