Bonney Care Agency was rated Good overall and across all five key questions, with people receiving safe, person-centred care from a consistent group of well-trained staff and robust governance systems in place. Minor areas for improvement included two-staff signing of handwritten medicines entries, consulting the local authority about possible Court of Protection applications for people receiving 24-hour care, and making advocacy information available.
Concerns (3)
minor
Medication management
: “we noted handwritten entries recorded on medicine administration records did not have two staff signatures. This is important to ensure accurate transcribing”
minorConsent / capacity: “we asked the registered manager to consult with the local authority, to check if an application to the Court of Protection was required due to the level of constant supervision provided”
minorPerson-centred care: “Advocacy service information was not available for people. However, we discussed this with the registered manager who agreed to source some information and make this available”
Strengths
· No missed calls reported and people notified when staff running late
· Continuity of care provided by small core group of regular staff
· Safe recruitment procedures including DBS, references and work history checks
· Staff received structured induction, annual training, three-monthly supervision and annual appraisal
· Robust audits and electronic system monitoring care call times alerting management if calls were 15 minutes late
Quality-Statement breakdown (22)
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
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; supporting people to access healthcare servicesNot 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; respecting 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: Supporting people to develop and maintain relationships and follow interestsNot 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 empowering; working in partnership with othersNot 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; continuous learning and improving careNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated