My Homecare Harrogate received an overall Good rating on its first inspection in August 2022, with Requires Improvement in Effective due to gaps in Mental Capacity Act compliance, including a restrictive practice without a best interest decision and inadequate capacity records. All other key questions were rated Good, with particular strengths in safe medication management, person-centred care, and staff recruitment.
Concerns (3)
critical
Consent / capacity
: “Restrictive practices were in place for one person without the appropriate best interest decisions.”
moderateRecord keeping: “Decisions were made in people's best interests...However, appropriate records reflecting this were not always in place.”
moderateStaffing levels: “People and their relatives gave us mixed feedback regarding their call times and the manager confirmed recent staffing issues had impacted on some calls.”
Strengths
· Medicines were safely administered and medicine administration records were clear and completed fully.
· Personalised risk assessments were in place and were regularly reviewed.
· Staff were recruited safely with robust checks to ensure only suitable staff were employed.
· People received person-centred support and staff knew people well.
· People were supported to make advanced care plans for the end of their life.
Quality-Statement breakdown (21)
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Learning lessons when things go wrongGood
safe: Preventing and controlling infectionGood
effective: Ensuring consent to care and treatment in line with law and guidanceRequires improvement
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 to provide consistent, effective, timely careGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
caring: Ensuring people are well treated and supported; respecting 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: Continuous learning and improving care, working in partnership with othersGood
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 staffGood