Home Instead Tyne Valley was rated Good overall with an Outstanding rating for caring at this first inspection of the newly registered service. Minor issues with medicines records, risk assessments and quality assurance were identified and addressed immediately by the provider, who was without a registered manager but had an application in progress.
Concerns (4)
moderate
Medication management
: “Some instructions for creams, ointments and 'as required' medicines were not fully in place and quality checks had not always identified this.”
minorRecord keeping: “There were some risk assessments which needed updating. The provider immediately started work to address this.”
minorGovernance: “The provider had a quality assurance system and was in the process of reviewing this after feedback from the inspection had been given to them.”
minorLeadership: “The service did not have a registered manager with the Care Quality Commission (CQC).”
Strengths
· Extremely kind and caring management and staff team with outstanding examples of staff 'going the extra mile'
· Robust recruitment process with employment checks including DBS and references
· Strong infection control procedures with PPE use and regular COVID-19 testing
· Effective contingency planning ensured all care calls were covered despite pandemic pressures
· Person-centred care with minimum one-hour visits and accommodation of preferences (e.g., gender of carers, food choices)
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Staffing and recruitmentNot rated
safe: Preventing and controlling infectionNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Using medicines safelyNot rated
safe: Learning lessons when things go wrongNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies; supporting people to live healthier lives and access healthcareNot 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: 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; continuous learning and improving careNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empowering; duty of candourNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Working in partnership with othersNot rated