My Life Legacy, a domiciliary care agency in Wigan, was rated Good across all five key questions at its November 2022 inspection, maintaining the same rating as its previous inspection in 2018. The service demonstrated strong person-centred care, safe medicines management, robust governance, and a positive open culture, with only minor gaps identified around end-of-life care planning and food chart detail recording.
Concerns (2)
minor
End-of-life care
: “Care plans did not consider people's end of life wishes until people were poorly.”
minorRecord keeping: “Daily food charts were completed regularly, although they lacked detail about the consistency of the food staff provided.”
Strengths
· Robust recruitment checks with people involved in selecting their own staff.
· Medicines managed safely with staff completing training and competency checks before administering.
· Person-centred care plans were detailed, regularly reviewed, and developed with involvement from people and relatives.
· Staff received thorough induction, regular training, and could request supervisions on demand.
· Electronic call monitoring system used to ensure timely visits and manage staff deployment.
Quality-Statement breakdown (21)
safe: Staffing and recruitmentGood
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: 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 law; Supporting people to eat and drink enoughGood
effective: Staff working with other agencies to provide consistent, effective, timely care; 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 develop and maintain relationships; support to follow interests and activitiesGood
responsive: End of life care and supportGood
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: How the provider understands and acts on the duty of candour; Working in partnership with othersGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learningGood