Hepzibar Care Agency Limited received a Good rating across all five key questions at its first CQC inspection, with 2 people receiving personalised, person-centred domiciliary care. Minor gaps in the safeguarding policy and a mobility risk assessment were identified and promptly addressed by the registered manager during the inspection.
Concerns (2)
minor
Safeguarding
: “it did not state that the provider had a legal duty to report any allegations of abuse to CQC. We discussed this with the registered manager who amended the policy accordingly.”
minorCare planning: “the risk assessment on mobility for 1 person contained only basic information. We discussed this with the provider who told us they would ensure this assessment was reviewed and updated.”
Strengths
· People had regular staff providing continuity of care and staff were punctual with no missed visits reported.
· Care plans were person-centred, regularly reviewed, and accessible to staff via a mobile app.
· Robust staff recruitment practices including criminal record checks, employment references and proof of identification.
· Staff received induction, training and regular 1:1 supervision supporting their roles.
· Registered manager maintained regular contact with people to check satisfaction and acted on feedback.
Quality-Statement breakdown (21)
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 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
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: Engaging and involving people using the service, the public and staff; Working in partnership with othersGood
well-led: Continuous learning and improving careGood