Theresa Care Limited received a Good rating across all five key questions at its first inspection as a newly registered domiciliary care agency supporting 10 people. The only concern was a recommendation to formally record consent and capacity assessments in line with the MCA, which the registered manager addressed immediately.
Concerns (2)
minor
Consent / capacity
: “The registered manager had asked for people to consent to care and treatment but there were no written consent or formal capacity assessments in place.”
minorRecord keeping: “We recommend that the provider follows the principles of the MCA and ensures there are formal records in place around capacity and consent to treatment.”
Strengths
· Person-centred care plans and risk assessments developed with people and their representatives
· Safe medicines management with regular audits and competency checks
· Safe recruitment practices including DBS, work visas and references
· Staff received up-to-date training including safeguarding, moving and handling, first aid, fire safety and infection control
· Positive feedback from people, relatives and professionals about caring, reliable staff
Quality-Statement breakdown (23)
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: Ensuring consent to care and treatment in line with law and guidanceGood
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: Supporting people to live healthier lives, access healthcare services and supportGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: 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 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 supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Duty of candour 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