Caring Wings Ltd, a small domiciliary care agency supporting 26 people, was rated Good across all five key questions at its first inspection. Minor issues were noted around continuity/timing of visits and the delivery method for practical moving and handling training, with a recommendation made to the provider.
Concerns (4)
minor
Staff training
: “We recommend that the provider review the delivery method for practical moving and repositioning training to ensure all staff remained skilled and competent.”
minorMissed or late visits: “Times are sliding, getting later. If only they would let me know if they are going to be late. This has an impact on me and my plans for the day.”
minorStaffing levels: “No regular staff, no continuity. Used to be, but not recently.”
minorGovernance: “Systems and processes to monitor the safety and quality of the service was in place. The registered manager advised they planned to develop this as the business grew.”
Strengths
· Person-centred care with positive feedback from people and relatives
· Safe medicines management with regular competency checks
· Robust safeguarding training and processes
· Safe recruitment practices including DBS and references
· Staff treated people with dignity, respect and promoted independence
Quality-Statement breakdown (17)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Staff support: induction, training, skills and experienceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Supporting people to eat and drink enough; access healthcare services; staff working with other agenciesGood
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: 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 needs (Accessible Information Standard)Good
responsive: Improving care quality in response to complaints or concernsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; duty of candourGood
well-led: Continuous learning and improving care; Working in partnership with othersGood