Alzheimer's Support, a small domiciliary care agency supporting people living with dementia in Trowbridge, was rated Good overall across the Safe and Well-led key questions inspected in October 2022. The sole notable concern was the absence of a registered manager, though a substantive manager was in post and had commenced the registration process.
Concerns (1)
moderateGovernance: “The provider did not have a registered manager in post, which is a condition of their registration. There was a manager in post who had started the process to apply for registration.”
Strengths
· Relatives felt safe with staff; effective safeguarding systems and staff understanding of abuse prevention in place.
· Risk assessments balanced independence with protection and were reviewed as needs changed.
· Effective recruitment procedures including DBS checks, references, right-to-work confirmation, and Care Certificate induction.
· Consistent staffing enabling strong relationships between people and their regular care worker.
· Staff described as meticulous in infection prevention and control, with appropriate PPE use.
Quality-Statement breakdown (9)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Using medicines safelyGood
safe: Learning lessons when things go wrongGood
well-led: Managers and staff being clear about their roles, quality performance, risks and regulatory requirements; Continuous learning and improving careGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empowering; Duty of candourGood
well-led: Engaging and involving people, the public and staff; Working in partnership with othersGood