Shaw Care SW Limited's first inspection rated the domiciliary care agency Good across all five key questions, with safe, person-centred support delivered by a stable, well-trained staff team to two people with learning disabilities and autism. Minor improvements were identified in care plan detail, formalising feedback recording, and making relative/service-user surveys more user-friendly.
Concerns (3)
minor
Care planning
: “Where people had preferences in their care plans such as enjoying 'takeaways' there was no detail to indicate what type of food, any preferred restaurant etc.”
minorGovernance: “Relatives and people were involved in decisions about care and asked for feedback about their care; this tended to happen regularly but was not always recorded by staff.”
minorCommunication with families: “There were annual surveys for people and their relatives for feedback. The surveys were a tick box form; we were told the registered manager intended to improve the surveys”
Strengths
· Robust recruitment with enhanced DBS checks and references
· Safe medicines management with locked storage, complete MARs and body maps for topical creams
· Staff trained in safeguarding and confident to report concerns
· Person-centred care promoting independence, choice and community access
· Effective induction, Care Certificate training and regular supervision
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 infectionGood
safe: Learning lessons when things go wrongGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Assessing people's needs and choicesGood
effective: Staff support: induction, training, skills and experienceGood
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
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 preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships and follow interestsGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Promoting a positive, person-centred, open and inclusive cultureGood
well-led: Managers and staff clear about roles, quality, risks and duty of candourGood
well-led: Engaging and involving people, public and staffGood
well-led: Working in partnership with others; continuous learning and improving careGood