Fairhope is a small domiciliary care agency rated Good overall following a focused inspection of Safe and Well-led, with ratings for Effective, Caring and Responsive carried forward as Good from 2018. Minor improvements were identified around evidencing continuous improvement from quality assurance activity and communicating survey results back to people using the service.
Concerns (2)
minor
Governance
: “it was not always clear how the service continuously improved. The registered manager immediately sought to develop the systems to ensure they evidenced the improvements they made”
minorCommunication with families: “Results and actions taken from the surveys were not always communicated to people using the service.”
Strengths
· People and relatives consistently reported feeling safe; staff described as caring, pleasant and dedicated.
· Medicines managed safely with trained staff, competency assessments, monthly MAR checks and clear GP/pharmacist-led change processes.
· Robust infection prevention and control procedures with sufficient PPE and monitored hand hygiene compliance.
· Detailed, regularly updated risk assessments including environmental assessments tailored to each person.
· Safe recruitment practices with DBS checks, references, induction, shadow shifts, spot checks and supervisions.
Quality-Statement breakdown (9)
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
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; Working in partnership with othersGood