Honeybee HomeCare's first inspection rated the service Good across all five key questions, with people supported by a consistent, well-trained staff team and an open, person-centred management culture. Minor improvement areas were identified around capturing individual preferences in care plans and dietary records, and completing the delayed external quality audit.
Concerns (3)
minor
Care planning
: “Each person had a care plan which reflected their individual assessed needs but not always their individual likes and dislikes.”
minorRecord keeping: “Records contained limited information about people's dietary choices and preferences, but the registered manager assured us this would be addressed with people as a priority.”
minorGovernance: “The provider had arranged for a consultant to carry out a quality audit of the service to assess the quality of care provided. This had been delayed because of the Coronavirus pandemic.”
Strengths
· Consistent staff team enabling person-centred care and continuity
· Calls delivered on time with paid travel time between visits
· Thorough induction, online and face-to-face training, spot checks, supervisions and annual appraisals
· Electronic care records preventing log-out until medicines administration confirmed
· Open-door management culture with strong staff morale and pride in working for the service
Quality-Statement breakdown (22)
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 to provide consistent, effective, timely careGood
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 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 staffGood
well-led: Working in partnership with others; Continuous learning and improving careGood