Solutions Embassy Limited, a small domiciliary care agency supporting four people, was rated Good in all five key questions at its first inspection. Relatives praised the kind, well-trained staff and the registered manager, with robust systems for safeguarding, risk, recruitment, medicines, person-centred care and governance.
Strengths
· Relatives spoke positively about the registered manager, staff and the service they received
· Safeguarding and whistleblowing policies and procedures in place; staff trained and aware of responsibilities
· Robust risk assessments with clear guidance documented in care plans
· Safe recruitment with pre-employment checks including DBS
· Enough staff with adequate travel time; spot checks and telephone monitoring used; ECM system being introduced
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Staff support: induction, training, skills and experienceGood
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: Respecting and promoting people's privacy, dignity and independenceGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferences; end of life care and supportGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Planning and promoting person-centred, high-quality care and support with openness; duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Managers and staff being clear about their roles, understanding quality, risks and regulatory requirements; continuous learningGood