Clover Support Group, a small domiciliary care agency supporting six people, was rated Good across all five key questions at its first inspection. Minor improvements were identified around recruitment employment history records and the level of detail in end-of-life care wishes, both of which the provider responded to promptly.
Concerns (2)
minor
Record keeping
: “some applicants did not have a full employment history recorded”
minorEnd-of-life care: “People's end of life care wishes had been considered during the provider's initial assessment, however this information lacked detail.”
Strengths
· Risks to people's safety assessed and reviewed regularly with prompt response to changing needs
· People received medicines as prescribed with staff competency assessed by the registered manager
· Consistent small staff team who knew people well, with no late or missed visits
· Comprehensive induction, regular training and supervisions; staff felt supported and valued
· Personalised care plans involving people and relatives in assessment and reviews
Quality-Statement breakdown (22)
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: 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; supporting access to healthcareGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people, the public and staffGood
well-led: Continuous learning and improving care; working in partnership with othersGood