Focused inspection of Safe and Well-led at this small domiciliary care agency supporting seven people, with both key questions and the overall rating remaining Good. Minor improvement areas were identified around analysing accidents/incidents to prevent recurrence and record keeping for staff interview responses.
Concerns (2)
moderateIncident learning: “Accidents and incidents were recorded. However, there was no system to analyse these events to inform action taken needed to prevent incidents reoccurring.”
minorRecord keeping: “We discussed good record keeping with the provider and registered manager, as interview responses could not be found in the staff files.”
Strengths
· Safe staff recruitment process including DBS and overseas police checks
· Regular reliable core staff team with good punctuality and continuity of care
· Person-centred care promoting dignity, privacy and human rights
· Medicines administered on time and as prescribed, with staff competency checks
· Open and transparent registered manager working in line with duty of candour
Quality-Statement breakdown (12)
safe: Learning lessons when things go wrongNot rated
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
well-led: Promoting a positive, person-centred cultureNot rated
well-led: Duty of candourNot rated
well-led: Managers and staff understanding roles, quality, risks and regulatory requirementsNot rated
well-led: Engaging and involving people, public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated