Charity Earnshaw is a domiciliary care service. The service provides care and support to adults in the community who require assistance with personal care. The service provides support to older people, people living with dementia and people with a physical disability living or mental health needs. Our off site assessment activity started on 9 February 2024 and ended on 23 February 2024. We looked at 8 quality statements; Safeguarding; Involving people to manage risks; Safe and effective staffing; Delivering evidence based care and treatment; Independence, choice and control; Equity in experiences and outcomes; Governance and assurance and Freedom to speak up.
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Charity Earnshaw improved from Requires Improvement to Good overall, exiting Special Measures with breaches of Regulations 12, 13 and 17 resolved. Safe and Effective were rated Good, but Well-led remained Requires Improvement as new governance systems still needed to be fully embedded in practice.
Concerns (2)
moderateGovernance: “systems and processes had been established but these needed to be fully embedded in practice.”
minorLeadership: “The next test will be when the service grows and whether processes are robust enough and are embedded in practice”
Strengths
· Risk assessments contained clear and detailed guidance for staff and were consistent with care plans and daily notes.
· Proactive safeguarding referrals and clear policies; staff understood their safeguarding responsibilities.
· Medicines were safely managed with training, competency assessments and robust quality assurance checks.
· Sufficient, consistent staffing with effective recruitment including DBS and reference checks.
· Staff were well trained and competent, with thorough induction, ongoing supervision and access to specialist training.
Quality-Statement breakdown (14)
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Learning lessons when things go wrongGood
safe: Using medicines safelyGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff working with other agencies and supporting access to healthcareGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
well-led: Managers and staff clear about roles, governance and continuous learningRequires improvement
well-led: Working in partnership with othersRequires improvement
well-led: Engaging and involving people, promoting a positive person-centred cultureRequires improvement