C&D Family Care, a domiciliary care agency supporting 84 people, was rated Good overall and across all five key questions at its first inspection. Minor issues were identified around topical medication documentation, staff awareness of mental health needs, and occasional staffing cover, all of which were promptly addressed.
Concerns (3)
minor
Medication management
: “we identified a discrepancy in the documentation in regard to the administration of topical medications (creams). This was immediately acted on by the registered manager.”
minorStaff training: “we did receive a comment that staff did not always have an awareness of mental health needs. This was discussed with the registered manager during the inspection process.”
minorStaffing levels: “due to staffing there had been a small number of times different staff had had to cover certain shifts.”
Strengths
· Safe recruitment practices with background checks and references
· Robust supervision and spot-checking system for staff
· Personalised care plans reviewed regularly and updated when needs change
· Positive feedback from people, relatives and health/social care professionals
· Effective infection prevention and control practices including PPE use
Quality-Statement breakdown (22)
safe: Using medicines safelyNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot 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: Staff working with other agencies to provide consistent, effective, timely careNot 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: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot 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: Duty of candour and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people, public and staff; working in partnership with othersNot rated
well-led: Continuous learning and improving careNot rated