First inspection of newly registered domiciliary care service rated Good across all five key questions, with one person receiving personal care at the time. Minor improvements identified around risk assessment guidance and policy detail were addressed immediately by the registered manager.
Concerns (3)
minor
Care planning
: “we identified guidance for staff of how to mitigate some risks needed further detail. The registered manager took immediate action to address this.”
minorGovernance: “On reviewing policies, we identified some required additional detail. We discussed this with the management team who took immediate action. This had not impacted on safety.”
minorSupervision / appraisal: “A newly appointed staff member was positive about the support they received. They said, "I have not yet had a supervision, but I call the office when I need assistance"”
Strengths
· Positive feedback from person using service and relative about caring approach of staff
· Staff received safeguarding training and understood roles in protecting people from abuse
· Safe recruitment procedures including DBS checks
· Person-centred care plans considering individual needs, routines and preferences
· Management team open, honest and committed to continuous improvement
Quality-Statement breakdown (26)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choices, delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Supporting people to live healthier lives, access healthcare services and supportNot 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: Supporting people to develop and maintain relationships to avoid social isolationNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated