First inspection of Genius Care Limited, a small domiciliary care service supporting four people, rated Good overall and across all five key questions. Recommendations were made about recording topical medicines and improving the detail of support planning, both addressed immediately by the registered manager.
Concerns (5)
minor
Medication management
: “Staff were applying prescribed topical medicines (creams) to support people's skin integrity. This was not being recorded on TMARs”
minorCare planning: “Some included very individual and personalised information about people's preferences as well as how they wanted and needed to be supported, others lacked detail.”
minorInfection control: “Some staff were not following the correct procedure for doffing PPE.”
minorStaff training: “A policy and procedure was in place however staff had not yet completed end of life care training.”
minorGovernance: “Audits were not completed routinely, however there was no evidence that this impacted on the quality of the service”
Strengths
· People received kind and compassionate care from a small, consistent team of staff who were known well to people and families
· Safe recruitment practices and trained staff in safeguarding, MCA, nutrition and IPC
· Registered manager was visible, approachable, led by example and promoted a person-centred, family-oriented culture
· People and relatives were actively involved in care planning and decision making
· Privacy, dignity and independence were promoted and respected
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
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 healthcareGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
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 controlGood
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: Promoting a positive, person-centred, open, inclusive and empowering cultureGood
well-led: Duty of candourGood
well-led: Managers and staff understanding roles, quality, risks and regulatory requirements; continuous learningGood
well-led: Engaging and involving people, public and staffGood