First comprehensive inspection of Lionheart Domiciliary Care Services rated the service Good across all five key questions. A recommendation was made about ensuring employment references are obtained before new staff commence work, and care plans needed to be more explicit about PRN medicines.
Concerns (2)
minor
Other
: “not all references from previous employers had been received prior to new staff commencing employment”
minorCare planning: “we found care plans needed to be more explicit about staff supporting as and when required medicines and when promoting people with medicines”
Strengths
· Service committed to providing safe and high-quality care and support
· Small team of staff used for each person to ensure reliable and consistent service
· Staff were kind, compassionate and treated people with dignity and respect
· Effective governance and accountability processes; audits used to drive improvement
· Open culture promoting person-centred care underpinned by compassion and respect
Quality-Statement breakdown (24)
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Preventing and controlling infectionGood
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: Staff working with other agencies; supporting people to access healthcareGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
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 choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships and follow interestsGood
responsive: End of life care and supportGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Managers and staff clear about roles; understanding quality, risks and regulatory requirementsGood
well-led: Engaging and involving people, public and staffGood
well-led: Promoting a positive person-centred, open, inclusive and empowering cultureGood
well-led: Duty of candourGood
well-led: Continuous learning and improving careGood