First inspection of this small, director-run domiciliary care agency rated Good across all five key questions, with people reporting reliable, personalised and compassionate care. Minor record-keeping gaps around medicated creams, recruitment-agency staff documentation and communication care plans were identified and the provider agreed to address them.
Concerns (4)
minor
Medication management
: “for some people, there was limited information about why the creams were prescribed... agreed to update their records to include this information and to develop administration charts”
minorRecord keeping: “The provider had recorded details of the medicines one person was prescribed but not for the others... They agreed to update their records.”
minorStaff competency: “Silverdale Care Limited did not have written confirmation of these checks or training the staff had undertaken.”
minorCommunication with families: “care plans did not include details about how to overcome any problems relating to this. We discussed this with the directors who agreed to create more detailed communication care plans”
Strengths
· Reliable, punctual visits with personalised care delivered by the directors
· Strong relationships between people, families and staff with positive feedback ('We couldn't wish for better carers')
· Risks to safety and wellbeing assessed and planned for, including moving and handling
· Suitable infection prevention and control procedures with consistent PPE use
· Directors qualified in care management with relevant training and clear policies/procedures
Quality-Statement breakdown (22)
safe: Using medicines safelyNot rated
safe: Staffing and recruitmentNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Assessing people's needs and choicesNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot 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: End of life care and supportNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated