Homepeace Ltd received an overall Good rating on its first CQC inspection, with Safe rated Requires Improvement due to risk assessments and care plans lacking sufficient detail to guide staff unfamiliar with service users. All other key questions were rated Good, with inspectors finding a compassionate, well-led service supported by knowledgeable staff and a strong open culture.
Concerns (3)
moderate
Care planning
: “Risk assessments and care plans did not contain detailed guidance for staff to follow to keep people safe, or outline measures to help reduce the likelihood of people being harmed.”
moderateRecord keeping: “People's care plans did not always provide detailed information for staff on people's preferences and choices about how they wanted to be supported.”
minorPerson-centred care: “Staff and the registered manager were able to describe very personalised care in detail to inspectors that was not yet apparent in people's care plans.”
Strengths
· Staff knew people well and demonstrated a good understanding of how to manage risks, mitigating gaps in written risk assessments.
· People and relatives consistently praised staff as kind, compassionate, respectful and well trained.
· Sufficient staffing levels with staff confirmed as punctual and staying the full duration of care visits.
· Medicines were managed safely with MAR completion, spot checks by the registered manager, and positive feedback from relatives.
· Strong infection prevention and control practices including consistent PPE use confirmed by relatives.
Quality-Statement breakdown (24)
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
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: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood