Ultimate Complex Care Ltd received a Good rating across all five key questions at its first CQC inspection, having only begun delivering personal care seven weeks prior to the visit. The newly registered domiciliary care service demonstrated safe medicines management, personalised care planning, a positive person-centred culture and robust recruitment, with quality assurance processes still maturing given the service's early stage of operation.
Strengths
· Robust recruitment procedure including enhanced DBS checks, application forms, interviews and references
· Medicines managed safely with complete MAR records, body maps for topical medicines and PRN protocols
· Personalised care plans accessible on staff handheld devices, reflecting individual wishes, goals and preferences
· Staff demonstrated detailed knowledge of people's needs and received role-specific training including epilepsy and PBM
· Positive person-centred culture with staff promoting independence and spending quality time with people
Quality-Statement breakdown (19)
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: Ensuring consent to care and treatment in line with law and guidanceGood
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 and access healthcare servicesGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
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
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
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: Working in partnership with others; Continuous learning and improving careGood