Ignite Health Care Limited, a small domiciliary care agency, was rated Good overall at its first inspection but Requires Improvement in well-led due to incomplete pre-employment DBS checks for two staff. Care was person-centred, staff were trained and supported, and feedback from relatives and professionals was positive.
Concerns (3)
moderate
Governance
: “The registered manager had not ensured that appropriate pre-employment checks were completed for all staff prior to them delivering care.”
moderateStaff competency: “The recruitment files for two members of staff showed these checks had not been correctly completed prior to employment commencing.”
minorMedication management: “The medication administration records did not show the directions for administration.”
Strengths
· People received support from a consistent staff team
· Staff had received appropriate training and competency assessments, including in medicines administration
· Care plans and records were person centred and reflected the needs of the person
· Mental capacity assessments were completed where appropriate
· Positive feedback from relatives and social care professionals about communication and care
Quality-Statement breakdown (21)
safe: Staffing and recruitmentRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choicesGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enoughGood
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 decisionsGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsRequires improvement
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 staffGood
well-led: Continuous learning and improving careGood