Harmony Home-Led Care received a Good rating across all five key questions on its first CQC inspection in May 2023, demonstrating safe, person-centred care delivered by a consistent and well-supported workforce. Minor governance gaps were noted around emergency priority visit documentation and the lack of formal analysis of survey feedback, but no regulatory breaches were identified.
Concerns (2)
minor
Governance
: “there was no documentation in place enabling decisions to be made on priority visits for people in the event of an emergency such as poor weather conditions.”
minorGovernance: “Monthly surveys were completed by care workers and people they supported. Whilst these were reviewed these had not been analysed with a summary of the findings.”
Strengths
· People confirmed they felt safe, with no safeguarding concerns raised since the agency began operating.
· Consistent, punctual care workers with no missed visits reported by people using the service.
· Comprehensive induction including Care Certificate completed prior to care workers supporting people.
· Strong cultural competency, particularly for the local Somalian community, with care workers matched to meet cultural and language needs.
· Positive, open and supportive management culture with regular supervision, spot checks, and team meetings.
Quality-Statement breakdown (23)
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 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; working with other agencies; supporting people to live healthier livesGood
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: Supporting people to maintain relationships and take part in socially and culturally relevant activitiesGood
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: Engaging and involving people using the service, the public and staff, fully considering their equality characteristicsGood
well-led: Continuous learning and improving care; working in partnership with othersGood