Avoston Ltd, a newly registered domiciliary care agency in Chichester, achieved a Good rating across all five key questions at its first inspection in October 2019. The service demonstrated safe, person-centred care with strong leadership, effective staff training and supervision, and robust governance systems.
Strengths
· People were protected from abuse and harm by appropriately trained staff with clear safeguarding understanding
· Risks were identified, assessed and managed safely with detailed guidance for staff in care plans
· Staff arrived on time and communicated proactively when delays occurred
· Safe recruitment practices including DBS checks and verified employment histories
· Medicines managed safely with trained and competency-assessed staff and accurate MAR records
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
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: Supporting people to express their views and be involved in making decisions about their care; respecting and promoting people's privacy, dignity and independenceGood
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: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candour; managers and staff being clear about their rolesGood
well-led: Continuous learning and improving care; working in partnership with othersGood