This focused inspection of Shauna Health Care Service Solutions Limited reviewed only the Safe and Well-Led key questions, both rated Good, with the overall rating remaining Good. No evidence of harm was found; a minor medicines stock reconciliation issue was self-identified and promptly mitigated by management.
Concerns (1)
minorMedication management: “The service's audit identified medicine stock balances recorded on the system were not tallying with actual medicine balances in people's homes due to an issue with the system.”
Strengths
· Detailed, person-centred risk assessments in place covering skin integrity, eating, drinking and mobility
· Lessons learnt from accidents and incidents were shared in team meetings
· Safe recruitment practices with valid DBS checks for all staff reviewed
· Sufficient staffing levels with management able to cover visits in emergencies
· Medicines for controlled drugs administered by 2 members of staff with appropriate risk assessment
Shauna Health Care Service Solutions Limited achieved a Good rating across all five key questions in its first CQC inspection, with people and relatives consistently praising the kindness, reliability and professionalism of staff. A minor records discrepancy around consent documentation was identified but reflected an administrative gap rather than a failure in practice, with the registered manager committing to remediation.
Concerns (1)
minorRecord keeping: “there were some instances where we noted relatives had signed to give consent to care for family members who were deemed to have capacity. This was a records discrepancy”
Strengths
· Staff consistently wore PPE and understood infection prevention responsibilities, with swift corrective action taken on the single breach identified.
· Robust risk assessments covering medicines, falls, skin integrity, environment, food hygiene and fire were completed with people's involvement.
· Strong staffing continuity with relatives reporting staff always arrived on time and never missed calls.
· Medicines managed safely with staff trained and competency-assessed; best practice followed in administration.
· Comprehensive induction, ongoing training and formal competency checks including dementia care, moving and repositioning, and COVID-19 awareness.
Quality-Statement breakdown (25)
safe: Preventing and controlling infectionGood
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
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: Supporting people to live healthier lives, access healthcare services and supportGood
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: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving careGood