First inspection of a newly registered domiciliary care agency rated Good across all five key questions, with strong governance, person-centred culture and effective medicines, safeguarding and training systems. No regulatory breaches or failure themes were identified.
Strengths
· Robust governance system that rapidly identified and addressed issues
· Sufficient staffing with well-organised rotas and minimum 50-minute visits enabling person-centred care
· Effective and closely monitored medicine management with trained and competency-assessed staff
· Strong adherence to COVID/infection control with ample PPE and regular spot checks
· Comprehensive assessments and detailed care plans capturing people's needs
Quality-Statement breakdown (15)
safe: Assessing risk, safety monitoring and management; safeguarding; learning lessonsGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Assessing needs; delivering care in line with standards; working with other agencies; healthier lives; eating and drinkingGood
effective: Ensuring consent to care and treatment in line with law and guidance (MCA)Good
effective: Staff support: induction, training, skills and experienceGood
caring: Ensuring people are well treated and supported; equality, diversity, privacy, dignity and independenceGood
caring: Supporting people to express views and be involved in decisions about their careGood
responsive: Planning personalised care; relationships; interests and activitiesGood
responsive: Meeting people's communication needs (AIS)Good
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive, person-centred culture; engaging people and staff; continuous learningGood
well-led: Roles, quality performance, risks, regulatory requirements, duty of candour and partnership workingGood