Percurra Chelmsford West and Brentwood is a small domiciliary care agency rated Good overall at its first inspection, with people receiving personalised, timely and respectful care from a consistent staff team. The Well-led domain requires improvement due to ineffective quality monitoring systems, incomplete recruitment documentation, and supervision processes not yet embedded.
Concerns (5)
moderate
Governance
: “The provider's systems for monitoring the safety and quality of the service were not always effective in identifying and addressing concerns.”
minorRecord keeping: “staff did not always have a full employment history listed and references were not always recorded for applicant's previous care positions.”
minorCare planning: “the life history section of the care plans was blank or marked as not applicable. This meant staff may not always have all relevant information about what was important to people.”
minorSupervision / appraisal: “the registered manager was in the process of implementing regular supervisions and team meetings...however, these were not yet embedded.”
minorStaff training: “the registered manager had a process for monitoring the completion of staff training but had not used this to effectively identify and action gaps in their own training.”
Strengths
· People received personalised care from a small, consistent staff team who knew them well and understood their preferences.
· Staff arrived on time and care visits were not rushed, with relatives confirming punctuality and communication about delays.
· People and relatives spoke positively about the kindness and respect shown by staff.
· An electronic medicines administration system alerted the registered manager to any delays or issues with administration.
· The provider worked in partnership with other health professionals and responded promptly to changes in people's healthcare needs.
Quality-Statement breakdown (21)
safe: Staffing and recruitmentNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Using medicines safelyNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Learning lessons when things go wrongNot rated
safe: Preventing and controlling infectionNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving care; Working in partnership with othersNot rated