First inspection of a newly registered small domiciliary care agency run by two directors supporting two people with personal care, rated Good across all five key questions. Minor shortfalls in pressure-sore care plan detail and a delayed RESPECT form review were addressed during inspection.
Concerns (3)
moderate
Consent / capacity
: “the person concerned now had full mental capacity. The Nominated Individual and Quality Manager had not ensured a timely review of the REPSECT form had taken place.”
minorCare planning: “This person's care plan directed staff to 'monitor and report any pressure sores.' However, there was no information about what to look for, such as skin redness or any immediate actions”
minorGovernance: “The Nominated Individual had basic systems of audit in place and these were carried out to identify whether any improvement was needed.”
Strengths
· People felt safe and gave positive feedback about care calls
· Both directors knew people well and undertook all care calls personally
· Effective use of PPE and engagement with local authority during COVID-19
· Person-centred approach respecting dignity, privacy and independence
· No missed or late care calls and no complaints received
Quality-Statement breakdown (21)
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: Ensuring consent to care and treatment in line with law and guidanceNot rated
effective: Staff work with other agencies to provide consistent, effective, timely careNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and controlNot rated
responsive: Meeting people's communication needsNot rated
responsive: Supporting people to develop and maintain relationshipsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Managers being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Duty of candourNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving care; Working in partnership with othersNot rated