SureCare Richmond and Kingston, a domiciliary care agency supporting 24 people, retained an overall Good rating across all five key questions at the September 2022 inspection. Minor issues with PRN medicines protocols were promptly addressed, and a recommendation was made about the operation of records systems to ensure accessibility.
Concerns (2)
minor
Medication management
: “We identified protocols for PRN ['as needed'] medicines were not always clear within people's care records.”
minorRecord keeping: “the provider was using both paper and electronic monitoring systems to store people's care records. This impacted on the accessibility of information required at the time of our site visit.”
Strengths
· Staff knew people well and understood how to protect them from abuse
· Safe recruitment processes including DBS checks, references and full employment history
· Staff praised training and induction, with Care Certificate followed and competency assessed
· Regular supervision and appraisal every three months
· Kind, compassionate and dignified care with positive feedback from people and relatives
Quality-Statement breakdown (22)
safe: Using medicines safelyNot rated
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: 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: Improving care quality in response to complaints or concernsNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving careNot 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: Engaging and involving people using the service, the public and staffNot rated
well-led: Working in partnership with othersNot rated