First inspection of newly registered domiciliary care service Combined Care Services rated Good overall and across all five key questions. People and relatives reported safe, kind and personalised care delivered by well-trained staff, with effective governance, recruitment, medication management and quality monitoring systems in place.
Strengths
· Enough staff employed with no late or missed visits reported by people using the service
· Safe recruitment processes including DBS checks, references and interviews
· Risk assessments in place covering nutrition, skin, mobility and living environment
· Adequate PPE and routine COVID-19 testing carried out by staff
· MAR charts and cream charts completed accurately with medication training and spot checks
Quality-Statement breakdown (19)
safe: Staffing and recruitmentGood
safe: Assessing risk, safety monitoring and management; Preventing and controlling infectionGood
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongGood
safe: Using medicines safelyGood
effective: Staff support: induction, training, skills and experienceGood
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: Supporting people to eat and drink enough to maintain a balanced dietGood
caring: Ensuring people are well treated and supportedGood
caring: Respecting equality and diversity; Respecting and promoting people's privacy, dignity and independenceGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
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; Engaging and involving people using the service, the public and staffGood
well-led: Managers and staff being clear about their roles and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood