First inspection of this domiciliary care agency supporting 11 people, rated Good across all five key questions with safe recruitment, training, medicines management and person-centred leadership praised by relatives. Minor concerns related to occasional short-staffing requiring family cover and inconsistent PPE use, which the registered manager committed to address.
Concerns (3)
moderate
Staffing levels
— “Some relatives raised with us that there has been at times no staff available... The registered manager told us there has been times they have been short staffed”
minorInfection control — “Relatives had mixed comments on what PPE wore when providing care and support in people's homes. The registered manager confirmed they will address this with staff”
minorStaff competency — “The people who support [family member] are variable, some good, some not quite so good.”
Strengths
· Safe recruitment processes including DBS and previous employment checks
· Staff received induction, mandatory training, supervision and yearly appraisals
· Person-centred care plans reflecting cultural, religious and dietary preferences
· Effective partnership working with families and external health/social care professionals
· Strong, well-organised management praised by relatives
Quality-Statement breakdown (19)
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: Staff working with other agencies; supporting healthier lives and nutritionNot 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 needs (Accessible Information Standard)Not rated
responsive: Improving care quality in response to complaints or concernsNot rated
well-led: Promoting a positive, person-centred, open, inclusive and empowering cultureNot rated
well-led: Duty of candour; clear roles and understanding of quality, risks and regulatory requirements; engaging people and staffNot rated
well-led: Continuous learning and improving care; working in partnership with othersNot rated