J24 Resourcing Limited, a small domiciliary care provider in Derbyshire supporting four people at the time of inspection, achieved a Good rating across all five key questions at its first CQC inspection. Minor record-keeping gaps in risk assessments and medicines administration records were identified but promptly remedied by the registered manager during the inspection period.
Concerns (3)
minor
Record keeping
: “Records of risk assessments varied... other people's risk assessment for their home or for medicines had not always been fully completed.”
minorMedication management: “We found a small number of occasions where a record had not been made as expected.”
minorGovernance: “Medicines audits were in place however, we identified where these could be further developed.”
Strengths
· Staff arrived on time consistently, including in adverse weather conditions, with relatives describing punctuality as exemplary.
· People received care from consistent staff members who knew them well, supporting continuity of care.
· Staff treated people with compassion and dignity, with relatives reporting care was provided 'as if they were their own family'.
· The registered manager was responsive to inspection feedback, promptly updating records and systems during and after the inspection.
· Care was personalised and person-centred, with people's interests, hobbies, cultural and faith needs actively supported.
Quality-Statement breakdown (22)
safe: Using medicines safelyGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Systems and processes to safeguard people from the risk of abuseGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
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
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
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: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: Meeting people's communication needsGood
responsive: End of life care and supportNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
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