First inspection of SeaShell (Epping Forest & Harlow), a small domiciliary care agency supporting nine people, rated Good across all five key questions. Minor gaps were noted in PRN medicines guidance and end-of-life wishes documentation, both of which the registered manager committed to address.
Concerns (2)
minor
Medication management
: “Some people were prescribed 'as needed' medicines. Information to guide staff on the administration of these medicines was limited.”
minorEnd-of-life care: “There was limited information in the support plans we reviewed relating to people's end of life wishes.”
Strengths
· Positive feedback from people and relatives, with staff described as kind, considerate and going above and beyond
· Staff received appropriate training, induction including the Care Certificate, and ongoing supervision and spot checks
· Safe recruitment with DBS checks and robust induction including shadowing
· Detailed, personalised support plans reviewed regularly with family and professional involvement
· Effective complaints policy with monthly audits and lessons learned shared
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot 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 healthcare servicesNot 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, person-centred, open, inclusive and empowering cultureNot rated
well-led: Managers and staff clear about roles, quality performance, risks, regulatory requirements and duty of candourNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving care; working in partnership with othersNot rated