First inspection of newly registered domiciliary care service rated Good overall and across all five key questions. People praised staff as caring, well-trained and respectful, medicines were managed safely, and the registered manager carried out regular audits supporting continuous improvement.
Strengths
· Medicines were managed safely with regular audits and competency checks of staff practice
· Staff received good induction, training, and shadowing of experienced staff before working alone
· Safeguarding concerns were raised confidently by staff and appropriate referrals/notifications made to CQC
· Safe recruitment practices including DBS checks before staff started work
· Person-centred care with detailed care plans reflecting people's preferences, cultural needs, and choices
Quality-Statement breakdown (20)
safe: Preventing and controlling infectionNot rated
safe: Using medicines safelyNot rated
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: Learning lessons when things go wrongNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot 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
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Ensuring people are well treated and supported; equality and diversityNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Meeting people's communication needsNot rated
responsive: Planning personalised care to meet people's needs, preferences, interests and give them choice and controlNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
well-led: Managers and staff being clear about their roles, and 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: Engaging and involving people using the service, the public and staff; Working in partnership with othersNot rated