Rosebank 2, a newly registered domiciliary care agency supporting one person, was rated Good across all five key questions at its first inspection. A recommendation was made about developing more robust governance and audit systems, with minor concerns also noted around reference verification and the absence of a registered manager.
Concerns (4)
moderate
Leadership
: “At the time of our inspection there was not a registered manager in post. Until a registered manager was appointed, the nominated individual was responsible for supervising the management”
minorGovernance: “the audits carried out so far were limited in detail and did not clearly detail what was reviewed. Audits had not yet been embedded in practice.”
minorStaff competency: “not all character references were verified to check their authenticity. We raised this with the nominated individual who confirmed that he would contact the relevant referees and verify them”
minorMedication management: “the nominated individual explained they did not yet have an electronic medication administration recording system in place.”
Strengths
· Personalised care provided by a small, consistent staff team who valued relationships with the person
· Positive feedback from relative: '[My relative] is safe and well looked after.'
· Person-centred care plans documenting cultural, religious, dietary and equality needs
· Staff completed training including safeguarding, MCA, infection control, manual handling and first aid
· Effective infection prevention and control practices including COVID-19 procedures and PPE access