Rula Homecare Limited was rated Good across all five key questions at its first inspection, with safe recruitment, person-centred care and supportive management. Minor concerns were noted around communication with people about visit changes, language barriers with staff, and task-focused daily records, which the provider was addressing.
Concerns (4)
minor
Communication with families
: “Nobody lets me know, we get no phone calls.”
minorCultural competency: “English was not the first language for the majority of care staff and we received feedback that language could sometimes be a barrier.”
minorComplaints handling: “during the inspection we were made aware of a quality care issue that had not been reported to management.”
minorRecord keeping: “people's daily records were task focused and did not consistently reflect people's mood and social well-being.”
Strengths
· Risks were assessed and managed safely with regular reviews
· Robust recruitment checks including DBS and references
· Staff trained in safeguarding and aware of whistleblowing procedures
· Medicines managed safely with regular monitoring of MAR records
· Good infection prevention and control practice with PPE use
Quality-Statement breakdown (18)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
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; access healthcare; working with other agenciesGood
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 controlGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles; duty of candourGood
well-led: Continuous learning and improving care; Working in partnership with othersGood