Grendon Cross Care, a small domiciliary service supporting one person with complex needs 24/7, was rated Good across all five key questions at its first inspection. Inspectors found safe, effective, person-centred care underpinned by strong recruitment, training, communication support and governance with a commitment to continuous improvement.
Strengths
· Robust safeguarding systems with trained staff who knew how to identify and report abuse
· Sufficient regular staffing providing continuity of 24-hour care for the person using the service
· Robust recruitment procedures including DBS checks and references before staff started
· Safe medicines management with staff trained, competency-checked and regular auditing
· Strong infection prevention and control practices including PPE and COVID-19 testing
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
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 people to access healthcare servicesGood
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 control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concerns; End of life care and supportGood
well-led: Promoting a positive, person-centred, open, inclusive and empowering cultureGood
well-led: Managers and staff being clear about their roles; understanding quality, risks, regulatory requirements and duty of candourGood
well-led: Engaging and involving people, the public and staff; working in partnership with othersGood
well-led: Continuous learning and improving careGood