Focused inspection of a small domiciliary care agency (8 people, 5 receiving personal care) found the provider had addressed previous breaches of Regulations 17 and 19, with safe and well-led both improving from Requires Improvement to Good. Overall rating moved from Requires Improvement to Good, with effective recruitment, medicines management, risk assessment, and governance systems now in place.
Strengths
· Safe recruitment procedures including DBS checks, right-to-work checks, and references
· Trained staff administering medicines accurately with correct MAR documentation
· Risk assessments in place reflecting people's needs with clear management instructions
· Staff trained in infection prevention and control with adequate PPE supplies
· Effective audit systems identifying issues with prompt corrective action
Quality-Statement breakdown (11)
safe: Staffing and recruitment
Good
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; Continuous learning and improving careGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood