ULTICare Limited, a small domiciliary care agency supporting two people, retained an overall Good rating across all five key questions at this December 2021 inspection. Minor issues were identified around timeliness of care record updates, an out-of-date infection control policy, and incomplete documentation of audits, all of which the registered manager agreed to address.
Concerns (3)
minor
Care planning
: “for one person where the review highlighted a decline in health the records were not updated in a timely manner”
minorInfection control: “The infection control policy had not been reviewed since November 2019, but the registered manager was made aware of this and would address it.”
minorGovernance: “The registered manager completed regular checks audits on the care provided. However, they had not always documented this.”
Strengths
· Staff trained in safeguarding and able to explain types of abuse and actions to take
· Safe recruitment with pre-employment and DBS checks completed
· Staff received regular online and face to face training, including MCA training
· People reported staff were kind, caring and respected dignity and independence
· Personalised care plans with regular reviews
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Supporting people to develop and maintain relationships to avoid social isolationNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Working in partnership with othersNot rated