CEL Homecare Cumbria, a domiciliary care agency supporting 28 people, was rated Good across all five key questions at its first inspection. Minor improvements were recommended around recruitment procedures, supervision frequency, training currency and policy reviews, all of which the provider was already addressing.
Concerns (5)
minor
Other
: “We did find some elements of the recruitment process which needed to be enhanced, including recording interviews and ensuring applications forms were fully completed.”
minorSupervision / appraisal: “The registered manager confirmed supervision of staff was a little behind in some cases, but the provider was aware of this and was working to address this.”
minorStaff training: “Some staff training was out of date but before the inspection was finalised this had been addressed.”
minorInfection control: “One staff member reported not always being bare below the elbow as required in best practice guidance. The provider immediately addressed this and sent all staff reminders about infection control procedures to follow.”
minorGovernance: “Policies and procedures were in place and the provider was in the process of reviewing these as some were overdue.”
Strengths
· Enough consistent staff to meet people's needs and no missed care visits reported
· People felt safe and were protected from abuse; staff understood safeguarding responsibilities
· Medicines managed safely with competency checks and electronic monitoring
· Person-centred care delivered with respect for choice, dignity and independence
· Kind and caring staff who built strong relationships with people and families
Quality-Statement breakdown (22)
safe: Staffing and recruitmentNot rated
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: 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 access healthcareNot 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 choice and control and to meet 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: How the provider understands and acts on the duty of candourNot 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, the public and staff; Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated