Shapes Domiciliary Service was rated Good across all five key questions, with safe medicines management, individualised risk assessments, well-trained staff and a person-centred, open leadership culture. Parents and carers expressed strong trust and confidence in staff, and the registered manager maintained effective quality assurance and learning systems.
Strengths
· Parents and carers spoke highly of staff, describing their caring approach and saying they treated the whole family respectfully
· Risks to children and young people were assessed and managed in consultation with their parents
· Medicines were managed safely with monthly audits and competency assessments
· Staff had induction, ongoing training and supervision, including specialist clinical training assessed by healthcare professionals
· Small, regular teams of staff with shadowing of new staff before working alone
Quality-Statement breakdown (21)
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: 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; supporting people to live healthier livesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality, diversity, privacy and dignityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
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: End of life care and supportGood
responsive: Improving care quality in response to complaints or concernsGood
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: Managers and staff being clear about their roles; understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staff; working in partnership with othersGood