Tracy's Care@Home received an overall Good rating across all five key questions at its first inspection in February 2023, with 4 people using the service at the time. The service demonstrated strong person-centred care, safe practices and effective leadership, with only minor recommendations around fire/health-and-safety risk documentation and embedding governance audits as the service grows.
Concerns (2)
minor
Record keeping
: “Environmental risks had been assessed by the registered manager...however there was limited documentation around this.”
minorGovernance: “Audits of records had recently been put in place, these needed to be embedded and developed as the service grew.”
Strengths
· People felt safe with staff and reported staff understood how to provide safe care
· Effective medicines management with training and administration checks in place
· Strong infection prevention and control measures including appropriate PPE use
· Safe recruitment practices including DBS checks and satisfactory employment references
· Person-centred care with people fully involved in care planning and decision-making
Quality-Statement breakdown (23)
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuseGood
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 eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
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
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
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; Continuous learning and improving careGood