Homecare Team Ltd received an overall rating of Good across all five key questions at its first inspection since registration. Minor areas for improvement included completing MCA training and strengthening staff understanding of safeguarding.
Concerns (3)
minorStaff training
: “Staff said they had not yet completed training regarding the MCA, although the training matrix indicated staff were enrolled on this course, due to be undertaken in February 2022.”
minorSafeguarding: “Whilst some staff talked about safeguarding relating to abuse, others referenced health and safety issues such as fire awareness. The manager said further safeguarding training would be provided”
minorLeadership: “At the time of the inspection, the service did not have a registered manager, although an application had been submitted to CQC.”
Strengths
· Safe medication administration with accurate MAR records and no missing signatures
· Sufficient staffing with no late or missed visits and effective call monitoring
· Safe recruitment processes including DBS checks and references
· Adequate PPE and routine COVID-19 testing
· Person-centred care plans with cultural information
Quality-Statement breakdown (19)
safe: Using medicines safelyGood
safe: Staffing and recruitmentGood
safe: Assessing risk, safety monitoring and management; Preventing and controlling infectionGood
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongGood
effective: Staff support: induction, training, skills and experienceGood
effective: Assessing people's needs and choices; delivering care in line with standardsGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
caring: Ensuring people are well treated and supportedGood
caring: Respecting equality and diversity; Respecting and promoting people's 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 controlGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Continuous learning and improving care; Engaging and involving peopleGood
well-led: Managers and staff being clear about their roles and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood