Hasz Homecare Services achieved an overall Good rating on its first CQC inspection, with strengths in caring, responsive, and well-led domains supported by positive feedback from people and staff. The Safe domain was rated Requires Improvement due to incomplete risk assessments for health conditions and moving/positioning, and failure to obtain current DBS checks prior to employment for two staff members.
Concerns (4)
critical
Staffing levels
: “Staff were not always recruited safely. Disclosure and Barring Service checks were not always obtained prior to employment to protect people from the recruitment of unsuitable staff.”
moderateCare planning: “Where people lived with health conditions, such as, Parkinson's disease and Stroke, care records did not detail how their condition affected them.”
moderateCare planning: “One person required support to move and position. There was limited guidance available to staff on how to support them.”
minorRecord keeping: “MCA assessments were not always documented in detail, the registered manager acknowledged this and told us of plans to improve documentation.”
Strengths
· Medicines managed safely with staff trained and assessed as competent before administering medicines.
· Staff received infection control training and had appropriate PPE available.
· People felt safe and staff understood safeguarding responsibilities and reporting procedures.
· Sufficient staffing levels with no missed calls reported; people said staff were always on time.
· Staff completed induction including Care Certificate and shadowing of experienced colleagues.
Quality-Statement breakdown (21)
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongRequires improvement
safe: Staffing and recruitmentRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
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: 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 care; Supporting people to live healthier livesGood
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 supportNot rated
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, and understanding quality performance, risks and regulatory requirementsGood
well-led: Continuous learning and improving care; Working in partnership with othersGood