London Homecare Ltd improved from Requires Improvement to Good across all five key questions, with previous breaches of Regulations 11, 12, 17 and 19 resolved and improvements sustained. The domiciliary service was found safe, effective, caring, responsive and well-led with robust risk management, medicines, recruitment and quality assurance systems in place.
Strengths
· Risks identified and assessed with control measures to ensure safe care
· Medicines managed safely with trained staff and regular competency spot checks
· Robust pre-employment checks including criminal record checks and references
· Digital call monitoring system used to verify staff attendance and minimise missed/late calls
· Staff completed essential training and refresher courses with individual training matrix oversight
Quality-Statement breakdown (24)
safe: Assessing risk, safety monitoring and managementNot rated
safe: Using medicines safelyNot rated
safe: Staffing and recruitmentNot rated
safe: Learning lessons when things go wrongNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Preventing and controlling infectionNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Supporting people to live healthier lives, access healthcare services and supportNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Ensuring people are well treated and supported; equality and diversityNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Meeting people's communication needsNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of Life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Duty of candourNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated