Belong at Home Domiciliary Care Agency Crewe achieved an Outstanding overall rating at its August 2016 inspection, with Outstanding ratings for Effective and Caring domains driven by exceptional staff commitment, innovative health promotion and a strong person-centred culture. No regulatory breaches or failure themes were identified, and the service demonstrated exemplary practice across safeguarding, medicines management, staff development and quality assurance.
Strengths
· Staff consistently described as kind, caring and going the extra mile; multiple award winners recognised for exceptional dedication to people they supported.
· Holistic, person-centred health management including access to Admiral Nurse, personal trainer, gym, hairdresser and community restaurant within Belong Village.
· Strong learning culture with staff champions in dignity, end of life care and dementia sharing knowledge across the team.
· No agency staff used; stable, consistent staffing team with low turnover promoting continuity of care.
· Innovative medicines management enabling safe self-administration and independence where possible, with monthly MAR audits.
Quality-Statement breakdown (19)
safe: Safeguarding people from abuseGood
safe: Staffing levels and consistencyGood
safe: Recruitment proceduresGood
safe: Medicines managementGood
safe: Risk assessment and incident managementGood
effective: Holistic health and wellbeing outcomesOutstanding
effective: Staff training and developmentOutstanding
effective: Nutrition and hydrationOutstanding
effective: Mental Capacity Act understanding and applicationGood
effective: Staff supervision and supportGood
caring: Compassion, dignity and respectOutstanding
caring: Promoting independenceOutstanding
caring: Involvement of people and families in careOutstanding
responsive: Person-centred care planningGood
responsive: Activities and social participationGood
Belong at Home DCA Crewe achieved an Outstanding overall rating at its April 2019 inspection, maintaining its previous Outstanding status through exceptional rehabilitation outcomes, specialist dementia nursing, and a deeply person-centred culture. No significant failures were identified; Safe and Well-led were rated Good, with no breaches of regulation recorded.
Strengths
· Innovative on-site gym with adapted equipment and bespoke technology enabled exceptional rehabilitation outcomes, including people regaining mobility and reducing medication.
· Admiral Nurse employed to provide specialist dementia support, leading to reduced anxiety and reduced anti-psychotic medicines for people.
· Experience co-ordinator role enhanced people's lives by re-igniting interests, supporting activities, and facilitating smooth transitions into and out of services.
· Without exception, people praised the exceptionally kind, caring and knowledgeable nature of staff, with 100% satisfaction reported in the most recent customer survey.
· Highly personalised care plans including 'This is me' sections capturing life history, cultural background, interests and communication preferences.
Quality-Statement breakdown (19)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Supporting people to live healthier lives and access healthcare servicesOutstanding
effective: Staff support: induction, training, skills and experienceOutstanding
effective: Supporting people to eat and drink enough to maintain a balanced dietOutstanding
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityOutstanding
caring: Supporting people to express their views and be involved in making decisions about their careOutstanding
responsive: Planning personalised care to meet people's needs, preferences, interests and give them choice and controlOutstanding
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportOutstanding
well-led: Planning and promoting person-centred, high-quality care with openness and duty of candourGood
well-led: Managers and staff being clear about their roles, understanding quality performance and continuous learningGood
well-led: Engaging and involving people using the service, the public and staffGood