Advance Home Care Ltd was rated Good across all five key questions at this first inspection following re-registration, with people, relatives and professionals reporting consistently safe, person-centred care from familiar, well-trained staff. Concerns prompting inspection about missed visits and earlier medicines recording errors were not substantiated, and the provider had introduced an electronic medicines monitoring system in response.
Concerns (2)
minor
Medication management
— “following a number of medicine's recording errors that occurred in the first half of 2022 the provider responded appropriately by introducing a new electronic medicine's monitoring system”
minorMissed or late visits — “The inspection was prompted in part due to concerns received about staff missing visits.”
Strengths
· People felt safe and reported consistently good-quality care from familiar staff
· Robust pre-employment checks including DBS, references and right-to-work verification
· Well-organised medicines systems with no recording errors or omissions found at inspection
· Strong infection prevention and control practices, including effective PPE use and COVID-19 testing
· Staff well-trained via Care Certificate-aligned induction with regular supervision and appraisals
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Using medicines safelyGood
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: 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: Respecting and promoting people's privacy, dignity and independenceGood
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
responsive: Planning personalised care to meet people's needs, preferences, interests and give them 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: Planning and promoting person-centred, high-quality care and support; and how the provider understands and acts on duty of candour responsibilityGood
well-led: Engaging and involving people using the service, the public and staff, fully considering their equality characteristicsGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; and, Continuous learning and improving careGood