First inspection of this newly registered domiciliary care service rated Good across all five key questions, with people safely cared for by a kind, well-managed and person-centred staff team. A minor issue was identified with the training record system not clearly displaying when training was due or completed, which the registered manager agreed to revise.
Concerns (1)
minor
Record keeping
: “A training record was kept, however it was not always easy to identify when staff training was due, and when courses had been completed.”
Strengths
· People felt safe and protected from abuse; staff trained in safeguarding and knew how to report concerns.
· Detailed risk assessments including specialist needs such as PEG feeding.
· Electronic call monitoring system tracked staff calls; staff arrived on time with consistent carers.
· Safe recruitment procedures including DBS, ID checks and references.
· Medicines administered safely by trained staff with correct documentation.
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: Supporting people to live healthier lives, access healthcare services and supportGood
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 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: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood