First inspection of a newly registered domiciliary care agency supporting one person, rated Good across all five key questions. Inspectors found safe, effective, person-centred care delivered by a knowledgeable registered manager with robust training, risk management and governance in place.
Strengths
· Person using the service felt safe and was protected from abuse, with safeguarding policies and staff training in place
· Risk assessments were thorough, detailed, regularly reviewed and gave guidance to care workers on reducing risks
· Robust recruitment checks including employment references, ID and criminal record checks
· Staff training was robust and relevant, including first aid, autism awareness, medication management and the Care Certificate
· Service worked closely with external health and social care professionals (GP, OT, district nurses, local authority)
Quality-Statement breakdown (20)
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
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: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staff; working in partnership with othersGood