First inspection of Sizwim Home Care, a small domiciliary care agency with one person using the service, rated Good overall and across all five key questions. Inspectors found effective safeguarding, person-centred care planning, well-supported and trained staff, and clear governance led by an approachable registered manager.
Strengths
· Effective safeguarding systems, policies and procedures in place; staff trained and clear about responsibilities
· Person-centred risk assessments reviewed regularly with people involved in managing their risks
· Appropriate recruitment procedures ensuring only suitable people were recruited
· Comprehensive induction, ongoing training, regular supervision and appraisals; additional training in catheter care, diabetes and epilepsy
· Staff had a good understanding of the Mental Capacity Act 2005 and routinely sought consent
Quality-Statement breakdown (19)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Staffing and recruitmentGood
safe: Using medicines safely; Learning lessons when things go wrongGood
safe: Preventing and controlling infectionGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies; supporting people to access healthcare servicesGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views; respecting privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to maintain relationships and follow interests; complaintsGood
responsive: End of life care and supportGood
well-led: Managers and staff clear about roles; understanding quality, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people, the public and staff; working in partnershipGood
well-led: Understanding and acting on the duty of candourGood