First inspection of this small domiciliary care agency rated the service Good across all five key questions. A recommendation was made about the registered manager's understanding of statutory CQC notification requirements following late notification of two safeguarding allegations.
Concerns (3)
moderateGovernance
: “The registered manager did not have a thorough knowledge of incidents and events that they had a legal responsibility to notify the Care Quality Commission about”
moderateSafeguarding: “The provider had not notified CQC about the allegations in a timely manner, although they were eventually sent to CQC.”
minorMissed or late visits: “there had been some problems with staff punctuality, but they had taken steps to address that.”
Strengths
· Robust staff recruitment practices including DBS, references and right-to-work checks
· Safe medicines management with MAR audits and competency assessments
· Person-centred care plans developed with people and relatives, reviewed monthly
· Staff matched with people of similar cultural/religious backgrounds to support equality and diversity
· Open and positive culture with supportive registered manager
Quality-Statement breakdown (24)
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
safe: Learning lessons when things go wrongNot 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: Continuous learning and improving careNot rated
well-led: Engaging and involving people using the service, the public and staff; Working in partnership with othersNot rated