Meridian Health and Social Care - Burnley, a domiciliary care agency supporting 67 people, was rated Good overall and across all five key questions at this first inspection of the newly registered service. Minor areas for improvement included the lack of analysis of accident/incident logs for patterns/trends and the absence of a CQC-registered manager (application in progress).
Concerns (2)
minor
Incident learning
: “Whilst an overall log of the accidents and incidents had been compiled, an analysis had not been carried out to identify any patterns or trends.”
minorLeadership: “The service did not have a manager registered with the Care Quality Commission... The manager told us they had begun the process to register.”
Strengths
· People reported feeling safe and spoke positively about kind, friendly staff
· Risks were assessed, monitored and managed effectively with comprehensive risk assessments
· Medicines were managed safely with trained staff and monthly record checks
· Sufficient staffing with consistent care teams familiar with people's needs
· Safe recruitment procedures followed
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
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
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 and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving careGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staff; Working in partnership with othersGood