First inspection of Uxbridge House (Lalis Direct Care Ltd), a small domiciliary care agency supporting 2 people, rated Good across all five key questions. Inspectors found safe, person-centred and culturally matched care, well-trained and supervised staff, and effective governance with no concerns identified.
Strengths
· Risks to people's safety and wellbeing assessed with personalised risk management plans and clear guidelines for staff.
· Safe medicines management with regular training, competency assessments and monthly audits.
· Robust recruitment including DBS checks and structured induction with shadowing before working independently.
· Staff trained in mandatory and specialist areas (dementia, end of life) and supported to complete the Care Certificate.
· Person-centred care plans with 'This is me' section and culturally/linguistically matched care workers.
Quality-Statement breakdown (25)
safe: Assessing risk, safety monitoring and managementNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies; supporting people to access healthcareNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Supporting people to develop and maintain relationships and follow interestsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive, person-centred, open and empowering cultureNot rated
well-led: Duty of candourNot rated
well-led: Managers and staff being clear about their roles and understanding quality, risks and regulatory requirementsNot rated
well-led: Engaging and involving people, public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated