Yeshua Healthcare, a small domiciliary care agency in Durham serving 13 people, received a Good rating across all five key questions in its first CQC inspection. Minor concerns were noted around inconsistent medicine administration records and information handover for new service users, with the registered manager committing to immediate remedial action.
Concerns (3)
moderate
Medication management
: “on some we saw inconsistent information on whether medicines had been given”
moderateRecord keeping: “immediate action would be taken to investigate and address recording errors”
minorCommunication with families: “some staff said they were not always given information on new people they supported”
Strengths
· People felt safe and were protected from avoidable harm; safeguarding training and clear procedures were in place
· Medicines were generally managed safely with competency assessments carried out for staff
· Staffing levels were adequate with careful rota planning to minimise late calls; staff were safely recruited
· Staff received ongoing training, supervision and appraisal to maintain skills and effectiveness
· People were treated with dignity, respect and kindness; relatives spoke highly of staff conduct
Quality-Statement breakdown (21)
safe: Using medicines safelyGood
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: 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: 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: 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: Continuous learning and improving care; Working in partnership with othersGood