Ambition Community Healthcare's first inspection rated the domiciliary service Good across all five key questions, with strong person-centred, nurse-led complex care, robust governance and positive feedback from people and families. Recruitment challenges during COVID-19 had led to some missed visits, but the impact was minimal and being actively addressed.
Concerns (3)
minor
Missed or late visits
: “A number of visits had been missed either due to cancellation, staff sickness, client sickness or unavailability of staff.”
minorStaffing levels: “Staff recruitment has been a big challenge; however, the post of an employment recruiter has been sourced to try and address this”
minorStaff training: “Sometimes there are a lack of sufficiently trained people to fill the gaps.”
Strengths
· Comprehensive, person-centred assessments and bespoke care packages overseen by qualified nurses
· Robust recruitment processes including DBS and reference checks
· Well-managed risks, infection prevention and control, and safe medicines administration with regular nurse-led audits
· Strong, positive culture with staff opportunities for development, internal promotion and recognition
· Effective governance with weekly incident review, audits, surveys and quarterly newsletters
Quality-Statement breakdown (21)
safe: Staffing and recruitmentGood
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: Using medicines safelyGood
safe: Preventing and controlling infectionGood
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 and access healthcare servicesGood
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 careGood
caring: 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, person-centred culture and engaging people and staffGood
well-led: Duty of candour and opennessGood
well-led: Managers and staff being clear about roles, quality, risk and regulatory requirementsGood
well-led: Continuous learning and improving careGood