Conscience Care Limited achieved a Good rating across all five key questions on its first CQC inspection, with 22 people receiving person-centred domiciliary care underpinned by safe recruitment, effective medicines management, and consistent, dignified care delivery. Leadership was described as approachable and well-organised, with strong governance systems, high staff and service user satisfaction, and effective partnership working with health and social care professionals.
Strengths
· People consistently felt safe and reported punctual, familiar care workers with proactive communication when running late
· Strong person-centred culture with continuity of care; people described staff as 'like family' and praised their dignity and respect
· Robust electronic care management system enabling real-time monitoring of visits, tasks and outcomes
· Effective multi-agency working with district nurses, GPs and local authority; responsive to changing needs
· High staff satisfaction (100%) and positive service user survey results (95% rated service good or very good)
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control; end of life care and supportGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; working in partnership with othersGood