T & D Homecare is a small, newly registered domiciliary care agency rated Good across all five key questions at its first CQC inspection on 28 February 2023. The service demonstrated personalised, culturally responsive care, robust recruitment and governance processes, and a committed registered manager, with no failures or regulatory breaches identified.
Strengths
· Personalised, up-to-date risk assessments linked to care plans with guidance for staff on safely managing identified risks
· Robust recruitment systems including DBS checks, verified references, induction training and shadowing before working alone
· Staff supported people according to their cultural, religious and language needs and preferences, with matched staff where required
· Registered manager and care co-ordinator conducted unannounced spot checks of staff practice in people's homes
· Accidents and incidents immediately reviewed with appropriate actions taken, e.g. replacing gas cooking facilities after safety incident
Quality-Statement breakdown (25)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
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: 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 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: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, 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