Careinmyhome Kent received a Good rating across all five key questions at its first inspection as a newly registered domiciliary care provider, with people and relatives consistently reporting kind, safe and professional care. A recommendation was made regarding inconsistent care planning documentation, and mixed feedback was noted about management engagement with people and families.
Concerns (3)
moderate
Care planning
: “care records were both paper and electronic. This made care records repetitive and difficult to follow... formats of care records were different and inconsistent.”
minorPerson-centred care: “there was some generic guidance printed out on people's health conditions, but this guidance was not specific to people's needs.”
minorCommunication with families: “I've had no real contact from anyone in the office. The first communication I really had from someone was just before Christmas when they popped in to see me.”
Strengths
· People and relatives felt safe and reported staff were kind, caring and professional.
· Medicines were managed safely with MAR checks and staff competency assessments in place.
· Safe recruitment practices followed; staff transferred from previous provider ensuring continuity of care.
· Staff had completed mandatory training including safeguarding, infection control, moving and handling, and first aid.
· Regular supervision and appraisals were in place to monitor staff performance and development.
Quality-Statement breakdown (21)
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 choicesGood
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; supporting people to access healthcareGood
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 decisionsGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture; managers and staff clear about roles and regulatory requirementsGood
well-led: Duty of candour; engaging people and staff; continuous learningGood