Warren Homecare Ltd received a Good rating across all five key questions at its first CQC inspection, with people and relatives praising the caring, consistent staff and person-centred approach. Minor recommendations were made to strengthen quality monitoring and governance systems and to introduce formal staff supervision as the service grows.
Concerns (2)
minor
Governance
: “Systems and processes to monitor the safety and quality of the service were in place. However, these needed further developing to drive continual improvement.”
minorSupervision / appraisal: “Staff were not receiving one to one supervisions. The provider told us that despite this, because the service and team was small, staff communication and support was effective.”
Strengths
· People and relatives were complimentary about the service and staff, describing care workers as kind, caring and respectful.
· Sufficient staffing levels maintained with consistent staff teams, no missed or late calls reported.
· Safe recruitment procedures in place including DBS checks, references and application forms.
· Medicines administered safely with competency checks carried out on staff.
· Staff trained in safeguarding, MCA, infection prevention and control, and the Care Certificate.
Quality-Statement breakdown (21)
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: Staff working with other agencies; Supporting people to live healthier lives and access healthcareGood
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 controlGood
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: Managers and staff being clear about their roles, 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