First inspection of Domicare Limited, a small domiciliary care agency supporting two people, rated Good overall and across all five key questions. The registered manager (sole staff member) delivered kind, person-centred and unrushed care with sound risk management, recruitment, medicines, infection control and quality assurance arrangements prepared for any future growth.
Strengths
· Kind and caring staff who treat people with respect and dignity and encourage independence
· Punctual, unrushed visits delivered at times that suit people
· Detailed, personalised risk assessments and care plans reflecting preferences and life histories
· Medicines management system with MAR and PRN protocol templates ready for use
· Infection prevention and control procedures followed in line with government guidance, including PPE use
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 infection; 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 live healthier lives and access 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 care; respecting 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: Supporting people to develop and maintain relationships and follow interests and activitiesGood
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, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staff; working in partnership with othersGood
well-led: Continuous learning and improving care; duty of candourGood