First inspection of a small domiciliary care agency supporting one person with complex needs in a 24-hour package, rated Good across all five key questions. Care was person-centred with bespoke training and strong partnership working, though minor concerns were noted around PPE use, staff sleeping at night and the need for more formal feedback systems as the service grows.
Concerns (3)
moderate
Staff competency
: “the person said that on occasions staff do sleep at night. This was shared with the registered manager to investigate and respond.”
minorInfection control: “We were somewhat assured that the provider was using personal protective equipment (PPE) effectively and safely. Some staff did not wear masks when in the person's home.”
minorGovernance: “the registered manager recognised as the service expands there was a need for more formal methods of gathering views of people they support, relatives, staff and stakeholders in the form of surveys.”
Strengths
· Person-centred care with individual very involved in planning and decisions
· Bespoke training delivered by health and social care professionals specific to the individual supported
· Consistent core staff team with good matching of staff to person's interests
· Strong partnership working with health and social care professionals
· Robust transitional planning over ten months supporting move into own home
Quality-Statement breakdown (25)
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: Supporting people to live healthier lives, access healthcare services and supportNot 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
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: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated