New Dawn Health and Social Care Ltd, a small domiciliary care agency serving six people, achieved a Good rating across all five key questions at its first CQC inspection. Minor gaps in risk assessment detail, care plan personalisation, and recruitment referencing were identified but promptly addressed by the registered manager.
Concerns (5)
minor
Care planning
: “Some risk assessments lacked details as to how to provide care. The registered manager amended these to provide more detail to staff to ensure risk was reduced.”
minorRecord keeping: “Care plans detailed people's personal history though their preferences were not detailed. The registered manager said they would speak to people to obtain more personalised information.”
minorStaff competency: “A reference had not come from the management of a previous employer. The registered manager said this would always be requested in the future.”
minorIncident learning: “We saw in one person's records that they were not well...there was no evidence that staff had offered this support. The registered manager agreed should this situation arise again, this would be offered.”
minorComplaints handling: “The procedure implied that the Care Quality Commission investigate complaints. This is not the case as CQC cannot, by law, investigate individual complaints.”
Strengths
· People and relatives felt very safe with staff and reported no missed calls
· Staff demonstrated good understanding of safeguarding and knew how to escalate concerns
· People and relatives praised staff as friendly, respectful and caring
· Staff promoted independence, privacy and dignity effectively
· Registered manager understood duty of candour and regulatory notification requirements