First inspection of newly registered domiciliary care agency supporting one person; rated Good overall with safe, effective, caring and responsive all Good. Well-led was rated Requires Improvement because the service operated for 11 months without regular quality audits to identify trends or areas of improvement.
Concerns (2)
moderate
Governance
: “The service did not always have good quality monitoring which could easily identify areas of improvement or trends of changes within the service.”
moderateGovernance: “This showed the service had been in operation for 11 months without regular audits.”
Strengths
· Staff knew how to protect people from abuse and avoidable harm and followed safe recruitment protocols.
· Staff were skilled, experienced and received regular supervision described as 'constructive'.
· Care was person-centred, flexible and tailored, with relatives describing the service as 'very flexible'.
· Staff were kind and compassionate, promoting dignity, privacy and independence.
· Provider worked collaboratively with other professionals such as occupational therapists and social workers.
Quality-Statement breakdown (24)
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: 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: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; continuous learning and improving careNot 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: Engaging and involving people using the service, the public and staffNot rated
well-led: Working in partnership with othersNot rated