Seaars Care Ltd, a small domiciliary care agency supporting three people, was rated Good across all five key questions at its first inspection. Audit and monitoring systems and assessment of communication needs were still developing due to the service being newly registered.
Concerns (4)
minorCommunication with families
: “There was not a clear framework for assessing when people may need alternative forms of written communication in future and what forms these may take.”
minorGovernance: “Certain systems of audit and review had not yet been fully implemented due to the short period of time the service had been operating.”
minorRecord keeping: “Care notes were of a suitable quality but there was not a detailed process for reviewing and monitoring their quality in future.”
minorMissed or late visits: “At this time the provider relied on informal processes to ensure that staff arrived on time, but there was a risk that this system may not be sufficient in the event the service grew substantially in future.”
Strengths
· People treated with politeness and respect by consistent regular care workers
· Effective risk assessment and mitigation including moving and handling plans
· Safe recruitment with full pre-employment checks including DBS
· Comprehensive induction and training with competency checks
· Person-centred care plans capturing life stories, cultural, religious and sexuality needs
Quality-Statement breakdown (19)
safe: Systems and processes to safeguard people from the risk from abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Supporting people to live healthier lives, access healthcare services and supportNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
responsive: Planning personalised careNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Continuous learning and improving care; Working in partnership with othersNot rated