Helping Hands Beeston, a domiciliary care agency supporting 30 people, was rated Good across all five key questions at its first inspection. Minor issues were noted around late rota change notifications, consent paperwork accuracy, and electronic care plan accessibility, but care was found to be safe, effective, caring, responsive and well-led.
Concerns (3)
minor
Communication with families
: “Some people did say late changes were made to the rotas without them always being notified.”
minorConsent / capacity: “We did note on two care records that family members had completed a consent form. There was no reference to them being the legal appointee to make decisions on the person's behalf.”
minorCare planning: “some did say that they could not access their care plan due to not being able to access the electronic care planning app.”
Strengths
· Safe care with assessed and reviewed risks to people's health and safety
· Electronic medication administration records with alerts to reduce medicine errors
· Robust recruitment procedures including criminal record checks and references
· Strong infection prevention including COVID-19 measures with PPE used at every call
· Well-trained staff with competency checks, spot-checks, supervisions and appraisals; ~40% with adult social care diploma
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 to provide consistent, effective, timely careGood
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: How the provider understands and acts on the 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