First inspection of Care Solutions Nottingham, a small domiciliary agency supporting 16 people, rated Good across all five key questions. Minor issues with incident recording detail and emergency environmental plans were identified and addressed during the inspection, and an application was in progress for the manager to register with CQC.
Concerns (3)
minor
Incident learning
: “the recording process lacked detail of the actual incident and did not include a process for reviewing whether recommended actions had been effective.”
minorCare planning: “plans to make people safe in an emergency when staff were with them were not in place. After the inspection the manager told us this had been implemented.”
minorLeadership: “The manager was not currently registered with the CQC; however, they had a thorough understanding of their regulatory responsibilities”
Strengths
· Medicines were well managed with electronic MAR alerts reducing risk of medicine errors
· Robust recruitment procedures including DBS and reference checks
· Staff were well trained, supervised and encouraged to develop their roles including diplomas
· Person-centred care with care plans tailored to preferences, culture and religion
· Accessible Information Standard supported via different fonts and Braille options
Quality-Statement breakdown (25)
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 and supporting people to live healthier livesGood
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 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 supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: 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 careGood