Real Mission Care, a small domiciliary care agency supporting two people at the time of inspection, was rated Good across all five key questions at this first inspection. Minor recording improvements were noted around employment gaps, needs assessment outcomes and food choices, but people felt safe and well-cared for by a person-centred, well-led service.
Concerns (3)
minor
Record keeping
: “We have made the registered manager aware of the need to ensure all gaps in employment are recorded.”
minorCare planning: “We made the registered manager aware of the need to ensure food choices were clearly recorded.”
minorRecord keeping: “The registered manager was aware of the need to ensure the outcome of the needs assessment was clearly recorded and this is individualised.”
Strengths
· Staff recruited safely with DBS, references and pre-employment checks
· Person-centred care plans reflecting individual preferences, reviewed every six months
· Risk assessments individualised with guidance translated into Bengali for staff
· Staff completed Care Certificate induction and relevant training including MCA
· Open, approachable registered manager with regular spot checks and feedback questionnaires
Quality-Statement breakdown (23)
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; supporting people to access healthcareGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality, diversity, 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 control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships and follow interestsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive, person-centred, open and empowering cultureGood
well-led: Duty of candourGood
well-led: Managers and staff being clear about roles, performance, risks and regulatory requirements; continuous learningGood
well-led: Engaging and involving people, public and staffGood