First inspection of Sylk Care Macclesfield, a small domiciliary care service supporting ten people, rated Good overall and across all five key questions. Minor issues were noted around informing people of delayed calls and occasional reminders to maintain dignity during personal care.
Concerns (2)
minorCommunication with families
: “we received two comments indicating people had not been informed that their call was delayed.”
minorPerson-centred care: “I sometimes have to remind them to close the curtains for personal care.”
Strengths
· Safe recruitment procedures with DBS checks
· Trained and competent staff supporting medicines safely, including bespoke training sourced at a local hospital
· Robust risk assessments regularly reviewed
· Comprehensive person-centred support plans developed with people and relatives
· Consistent, caring staff team described as respectful and trusted
Quality-Statement breakdown (20)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Staff support: induction, training, skills and experienceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff working with other agencies; supporting people to live healthier livesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; duty of candourGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; working in partnership with othersGood