Light Health Care Ltd, a Sheffield domiciliary care agency supporting 15 people, received a Good rating across all five key questions at its first CQC inspection in June 2023. Minor recommendations were made regarding the detail of risk assessments and the need to embed quality monitoring systems over time, but no regulatory breaches were identified.
Concerns (3)
minor
Care planning
: “peoples risk assessments required more detail... We recommend the provider reviews and updates people's risk assessments to ensure they are detailed”
minorMissed or late visits: “One relative felt the timing of visits was sometimes inconsistent and communication between staff and people was difficult.”
minorGovernance: “The provider still needs to embed and sustain these systems over a longer period of time.”
Strengths
· People and relatives felt safe and expressed satisfaction with the care provided, describing staff as kind, respectful and punctual.
· Robust staff recruitment processes including DBS checks and Care Certificate completion for new staff.
· Medicines managed effectively with regular checks of medication administration records.
· Electronic visit monitoring system in place to ensure timely care delivery and prevent missed calls.
· Person-centred culture with regular feedback opportunities for people, relatives and staff.
Quality-Statement breakdown (21)
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 working with other agencies to provide consistent, effective, timely careGood
effective: Staff support: induction, training, skills and experienceGood
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
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: 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 staffGood