Helping Hands Nantwich, a domiciliary care agency supporting 11 people, was rated Good overall and across all five key questions at its first inspection. Minor issues around safeguarding notifications, risk assessment detail, recruitment records and CQC notifications were promptly addressed by the registered manager during the inspection.
Concerns (4)
moderate
Safeguarding
: “we found two examples where potential concerns had been reported by staff and addressed internally but had not been reported through local procedures or to CQC”
minorCare planning: “In some cases, risk assessments would benefit from further details about the nature of the risk and its management, to help further guide staff.”
minorRecord keeping: “Some records relating to staff recruitment were not readily available, however the registered manager assured us all appropriate checks had been carried out”
minorGovernance: “The registered manager had submitted notifications, apart from in two cases which had been an oversight, clarification was provided during the inspection.”
Strengths
· People and relatives reported feeling safe and were positive about familiar staff who arrived as expected
· Staff were suitably trained, supervised and completed the Care Certificate as part of induction
· Electronic medication administration records enabled ongoing oversight and timely action on changes
· Personalised support plans developed with involvement of people and relatives
· Service worked within the principles of the MCA with consent, capacity assessments and best interest decisions recorded
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of 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: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies; 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
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive, person-centred, open, inclusive and empowering cultureNot rated
well-led: Managers and staff being clear about their roles; understanding quality performance, risks, regulatory requirements and duty of candourNot rated
well-led: Engaging and involving people, the public and staff; working in partnership with othersNot rated
well-led: Continuous learning and improving careNot rated