Care Legacy Ltd received an overall Good rating across all five key questions in its first CQC inspection, with 33 people receiving personal care at home. The service demonstrated safe medication management, effective care planning, a kind and dignified approach to care, and strong leadership with an open and transparent culture.
Strengths
· People received a good standard of care by a staff team who knew them well, with regularly updated care plans reflecting individual preferences.
· Medicines were safely managed with protocols, training, competency checks, and systems for recording missed or variable doses.
· Staff were trained in safeguarding, infection prevention and control, and wore appropriate PPE.
· People were supported to access the community, healthcare services, and activities, with flexible care arrangements.
· The registered manager promoted an open, transparent culture with regular audits, team meetings, and quality assurance calls.
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
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 support; Staff working with other agenciesGood
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: Supporting people to develop and maintain relationships to avoid social isolation; support to follow interests and activitiesGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
responsive: Meeting people's communication needsGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks, and regulatory requirements; Continuous learning and improving careGood
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: Engaging and involving people using the service, the public and staff, fully considering their equality characteristicsGood