Home Instead Bury St Edmunds achieved a Good rating across all five key questions at its first inspection in January 2023, with 10 people receiving personalised, safe and dignified care from well-trained and punctual staff. Minor gaps noted in nutritional care plan detail and the absence of a formal quality assurance survey, both of which the provider was already addressing.
Concerns (2)
minor
Care planning
: “in some cases more detail was needed regarding the food that could be eaten.”
minorGovernance: “A formal quality assurance survey had not yet taken place, but the registered manager told us that plans for this were under way.”
Strengths
· People and relatives consistently described staff as punctual, caring and patient, with staff arriving on time and staying for the agreed duration.
· Safe recruitment practices including thorough DBS checks and character assessments were in place.
· Staff received comprehensive induction including the Care Certificate, shadowing, and both mandatory and specialist training.
· Care plans were personalised, written in partnership with people and relatives, and regularly reviewed.
· Strong safeguarding awareness: staff identified and prevented a fraud/scam against a person using the service.
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 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: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
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 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 staffGood