First inspection of Premier Care (Midlands) Limited rated the domiciliary care service Good across all five key questions, with people feeling safe, well cared for and involved in their care. Minor issues around risk assessment detail, occasional missed calls, PPE disposal knowledge and record keeping were addressed promptly by a responsive registered manager.
Concerns (5)
moderate
Care planning
: “Some risk assessments required more detail. For example, one person had a specialist diet to minimise the risk of them choking.”
moderateMissed or late visits: “Some people told us calls had been missed. This was discussed with the registered manager who was able to demonstrate they had taken appropriate action”
minorInfection control: “one member of staff we spoke with was not able to explain how they would manage the disposal of PPE if they were supporting someone who was positive for COVID-19.”
minorRecord keeping: “some people's records did not include a copy of the legal document, so it was not clear who could support them to make important decisions.”
minorGovernance: “We identified some risk assessments required more detail, for example, catheter care. The registered manager acted straight away and provided us with updated risk assessments”
Strengths
· Staff trained in safeguarding and understood how to report concerns
· Robust recruitment processes including DBS and reference checks
· Person-centred care plans with personalised information
· Open culture with valued, well-supported staff and regular supervisions
· Care Certificate-linked induction and ongoing training
Quality-Statement breakdown (22)
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Using medicines safelyNot 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; supporting people to access healthcare servicesNot 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, person-centred, open culture that achieves good outcomesNot rated
well-led: Managers and staff clear about roles, quality performance, risks and regulatory requirements; duty of candourNot rated
well-led: Engaging and involving people, public and staffNot rated
well-led: Working in partnership with others; continuous learning and improving careNot rated