Catchers Care is a small domiciliary care agency rated Requires Improvement overall at its first inspection, with four key questions rated Good but Well-led rated Requires Improvement due to a breach of Regulation 17 for failing to fully assess and document risks in care plans. People and relatives were consistently positive about the reliability, kindness and competence of staff, and no evidence of actual harm to people was found.
Concerns (4)
critical
Care planning
: “in one person's care plan it stated they had sustained a 'few falls recently'...There was no information or guidance for staff on how to manage this person's risk of falling”
criticalRecord keeping: “The provider had failed to fully assess, monitor and mitigate risks within care records relating to the health, safety and welfare of people using the service. This is a breach of Regulation 17”
moderateLeadership: “At the time of the inspection, there was no registered manager in post.”
minorGovernance: “since the recent change of ownership of the service, there had been no formal system implemented to obtain people's feedback”
Strengths
· People felt safe and spoke highly of kind, caring staff who knew them well and respected their dignity and independence.
· Medicines management was handled safely using an eMAR system, with trained staff and appropriate incident follow-up.
· Recruitment was conducted safely with DBS checks, references and employment history verification.
· Staff received induction, mandatory training, regular supervisions, monthly staff meetings and annual appraisals.
· Care was personalised and reflected people's wishes and preferences, including gender preference for care staff.
Quality-Statement breakdown (24)
safe: Assessing risk, safety monitoring and managementNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Staffing and recruitmentNot 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: Supporting people to live healthier lives, access healthcare services and supportNot 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: Supporting people to develop and maintain relationships to avoid social isolationNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated