First inspection of this newly registered domiciliary care agency providing personal care to three children, rated Good overall and across all five key questions. Minor recommendations were made regarding completeness of MAR records and PRN protocols, and audits not being fully tailored to the service.
Concerns (3)
minor
Medication management
: “We viewed a sample of MARs and noted that some lacked information regarding the formulation and strength of medicines and how often the medicines were to be taken.”
minorMedication management: “formal PRN guidance was in place. However, this lacked some detailed information about how much and in what circumstances PRN medicines was to be given to the person.”
minorGovernance: “We noted that some audits were not tailored specifically to the service.”
Strengths
· Care personalised to individual needs with privacy, dignity and independence promoted
· Staff arrived on time with no issues with lateness or missed visits
· Robust recruitment processes including DBS, references and right to work checks
· Comprehensive competency assessment system with a registered nurse carrying out competency checks
· Staff trained in safeguarding, MCA, infection control and manual handling
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Using medicines safelyNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot 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: 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: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive, person-centred, open, inclusive and empowering cultureNot rated
well-led: Managers and staff being clear about their roles; continuous learning and improving careNot rated
well-led: Duty of candourNot rated
well-led: Engaging and involving people, the public and staff; working in partnership with othersNot rated