City Care Solutions Limited, a small domiciliary care agency supporting three people, was rated Good in all five key questions at its first inspection. Inspectors found a safe, effective, caring, responsive and well-led service with detailed person-centred care planning and strong leadership commitment.
Strengths
· Risks to individuals, staff and within people's homes were identified and well managed
· Safe systems for staff recruitment in place with all required checks undertaken
· Systems ensured people received their medicines as prescribed; staff competency regularly checked
· Staff received induction, training and support; regular supervisions and spot checks
· Staff spoke with warmth, compassion and respect; people felt treated like family
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies; Supporting people to live healthier lives, access healthcare services and supportNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Duty of candour; Continuous learning and improving care; Working in partnership with othersNot rated