Noble Live-in Care received a Good rating across all five key questions at this first inspection of the newly registered domiciliary service. Minor concerns were noted around two staff's safeguarding knowledge, equality and diversity understanding, and communication with families, all of which the provider acted on.
Concerns (5)
moderate
Staff competency
: “two staff were unable to confirm the different types of abuse. Both staff had received training in safeguarding adults.”
moderateCommunication with families: “some staff lacked initiative, poor communication with the office, some staff could not cook and there was a language barrier for some people”
minorStaff training: “one member of staff was unable to demonstrate a clear understanding of equality and diversity.”
minorPerson-centred care: “we received some feedback that people might not have been well matched with a suitable member of staff in the past.”
minorGovernance: “People's views had yet to be sought through a yearly questionnaire.”
Strengths
· Personalised care plans containing hobbies, interests, risks and mobility needs
· Robust recruitment checks including DBS, identification and references
· Comprehensive four-day induction covering person-centred care, moving and handling, and nutrition
· Staff received supervision and annual appraisal monitored by the registered manager
· Staff respected privacy and dignity and actively promoted independence
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; supporting people to access healthcare servicesNot 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: Improving care quality in response to complaints or concernsNot rated
responsive: Supporting people to develop and maintain relationships and follow interestsNot rated
responsive: Planning personalised care to ensure people have choice and controlNot rated
responsive: Meeting people's communication needsNot 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 care; working in partnership with othersNot rated