Guarantee Care Services Ltd received a Good rating across all five key questions at its first rated inspection in June 2021, demonstrating safe, personalised and well-managed domiciliary care for eight people. No breaches of regulation were identified and people, relatives and staff provided consistently positive feedback about the service.
Strengths
· People consistently reported feeling safe with staff, citing thorough staff assessment and reliable, punctual care visits with no missed calls reported.
· Detailed, highly personalised care plans and risk assessments in place, including condition-specific plans for epilepsy and diabetes.
· Staff received appropriate and role-specific training, including specialist epilepsy training for assigned carers and observed medication competency checks.
· Registered manager carried out face-to-face pre-care assessments, regular review calls, and spot checks to monitor care quality.
· Strong person-centred culture with people actively involved in care planning and decision-making, including choices around daily activities.
safe:Insufficient evidence to rateeffective:Insufficient evidence to ratecaring:Insufficient evidence to rateresponsive:Insufficient evidence to ratewell-led:Insufficient evidence to rate
Guarantee Care Services Ltd is a newly registered domiciliary care agency inspected after nine weeks of operation, serving five people; the service was not rated across all five key questions due to insufficient evidence of consistent practice. Early indications were positive, with good person-centred care, trained staff, effective governance structures, and strong feedback from relatives.
Strengths
· People received consistent, personalised care from the same staff, with their preferences and choices recorded in care plans and respected by staff.
· Staff were trained in safeguarding, medicines administration, infection control, MCA, and equality and inclusion.
· Robust recruitment checks and health questionnaires were completed before staff commenced employment.
· The registered manager maintained daily contact with staff, conducted unannounced spot checks, and acted promptly on suggestions for improvement.
· Positive feedback from relatives praising staff competence, kindness, dignity, and responsiveness to health changes.
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuseInsufficient evidence to rate
safe: Assessing risk, safety monitoring and managementInsufficient evidence to rate
safe: Staffing and recruitmentInsufficient evidence to rate
safe: Using medicines safelyInsufficient evidence to rate
safe: Preventing and controlling infectionInsufficient evidence to rate
safe: Learning lessons when things go wrongInsufficient evidence to rate
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawInsufficient evidence to rate
effective: Staff support: induction, training, skills and experience
Insufficient evidence to rate
effective: Supporting people to eat and drink enough to maintain a balanced dietInsufficient evidence to rate
effective: Supporting people to live healthier lives, access healthcare services and supportInsufficient evidence to rate
effective: Ensuring consent to care and treatment in line with law and guidanceInsufficient evidence to rate
caring: Ensuring people are well treated and supported; respecting equality and diversityInsufficient evidence to rate
caring: Supporting people to express their views and be involved in making decisions about their careInsufficient evidence to rate
caring: Respecting and promoting people's privacy, dignity and independenceInsufficient evidence to rate
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesInsufficient evidence to rate
responsive: Meeting people's communication needsInsufficient evidence to rate
responsive: Improving care quality in response to complaints or concernsInsufficient evidence to rate
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringInsufficient evidence to rate
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsInsufficient evidence to rate
well-led: Continuous learning and improving careInsufficient evidence to rate
well-led: Working in partnership with othersInsufficient evidence to rate