AStar Homecare Tattenhall Ltd received a Good rating across all five key questions at its first inspection in November 2022, with people and relatives highly complimentary about the personalised, dignified care delivered by a consistent and punctual staff team. Minor gaps were noted in record keeping, care plan detail, and the MCA policy, all of which the registered manager was actively addressing.
Concerns (4)
minor
Record keeping
: “some records would benefit from further detail in relation to decisions made and to demonstrate processes were robustly followed”
minorCare planning: “aspects of record keeping would benefit from further person-centred details being included and kept fully up to date”
minorConsent / capacity: “the provider's policy was not fully in line. There was also limited guidance regarding staff responsibility in relation to the completion of MCA assessments”
minorSafeguarding: “guidance relating to staff responsibilities within the policy would benefit from further detail”
Strengths
· People and relatives were extremely positive about the care and support received, describing staff as 'marvellous' and 'like friends'
· Sufficient staffing levels with consistent, familiar staff who arrived punctually and communicated delays proactively
· Medicines managed safely with trained and competency-checked staff working closely with local pharmacy
· Registered manager promoted an open, person-centred culture with a learning ethos
· Service was attentive and reactive to changes in people's health, working closely with health and social care professionals
Quality-Statement breakdown (21)
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
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
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: 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: 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 staff; Working in partnership with othersGood