Wise Home Care Services Ltd improved from Requires Improvement to Good across all inspected key questions following breaches of Regulations 9, 12, 17 and 18 at the previous inspection in April 2021. All previous breaches were resolved, with robust risk management, safe recruitment, effective training, person-centred care planning and strong leadership now evidenced.
Strengths
· Risks associated with people's care were managed effectively with detailed records including condition-specific guidance for staff.
· Safe recruitment practices and robust pre-employment checks were in place before staff started work.
· Staff received mandatory training including infection control, and relatives confirmed staff always wore PPE during personal care.
· People and relatives were involved in care planning, which was reviewed regularly or when needs changed.
· Care staff received regular supervision and unannounced spot checks including observations of care practice.
Quality-Statement breakdown (18)
safe: Assessing risk, safety monitoring and managementGood
safe: Preventing and controlling infectionGood
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Using medicines safely; 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 care; Supporting people to live healthier livesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
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: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
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 candourGood
well-led: Engaging and involving people using the service, the public and staff; Working in partnership with others; Continuous learningGood