Right at Home GF received an overall Good rating across all five key questions at its September 2016 inspection, with notable strengths in dementia care, community engagement, and person-centred practice. Minor governance gaps were identified around medicines recording, care plan audits, and complaints trend analysis, though these did not impact the quality of care received by people.
Concerns (4)
moderate
Record keeping
: “records showed a number of gaps in the recording of people's medicines. Audits showed that gaps in recording had been a consistent concern”
moderateGovernance: “care records were not audited on a regular basis and we found some records did not include up to date information on the care people required”
moderateCare planning: “One person's care file...did not contain an up to date care plan. The last recorded audit of care plans was completed in August 2015”
minorComplaints handling: “complaints were not reviewed to identify trends and improve the quality of the service”
Strengths
· Outstanding dementia care provision including specialist training, 'Take Care' drama workshops, and the Dementia DELAY programme rolled out nationally
· Minimum one-hour call policy ensuring staff had sufficient time with people and were not rushed
· Electronic monitoring system to ensure no missed calls and staff stayed for agreed visit durations
· Community activities including 'Singing for the Mind', a weekly dementia café, and a gardening group to reduce social isolation
· Strong staff culture with regular supervision, appraisals, spot checks, and staff recognition schemes
Right at Home GF is an Outstanding-rated domiciliary care service delivering highly personalised, compassionate care to 54 people, with exceptional performance in caring, responsiveness and leadership. No regulatory breaches or failure themes were identified; the service improved from Good overall since its last inspection in February 2017.
Strengths
· Exceptionally personalised, person-centred care with staff demonstrating deep knowledge of individuals' preferences, histories and goals
· Strong and visible leadership culture embedding values of respect, compassion, integrity and listening across all staff
· Active community presence including Sunflower Cafes, Singing for the Mind, Love to Move and Inclusive Cricket groups for people affected by dementia
· Outstanding end of life care praised by relatives as 'Rolls Royce, gold standard of care'
· Robust electronic monitoring system ensuring no missed calls, safe lone working and timely medication administration
Quality-Statement breakdown (23)
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: Supporting people to live healthier lives and access healthcare servicesGood
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
caring: Respecting and promoting people's privacy, dignity and independenceOutstanding
responsive: Supporting people to develop and maintain relationships to avoid social isolationOutstanding
responsive: Planning personalised care to ensure people have choice and controlOutstanding
responsive: End of life care and supportOutstanding
responsive: Meeting people's communication needsOutstanding
responsive: Improving care quality in response to complaints or concernsOutstanding
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringOutstanding
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsOutstanding
well-led: Engaging and involving people using the service, the public and staffOutstanding
well-led: Working in partnership with othersOutstanding