Task Health Care, a small domiciliary care agency supporting 2 people privately, received a Good rating across all five key questions at its first CQC inspection in November 2022. Minor record-keeping inaccuracies in spot checks and interview assessments prompted a recommendation to improve completeness and accuracy of management records.
Concerns (2)
minor
Record keeping
: “information in spot checks were not always an accurate overview of the care provided. There were recorded responses from 4 applicants during their interview assessment that were identical.”
minorEnd-of-life care: “the provider's care plan did not have a section to record people's wishes or advanced decisions at this stage of their life.”
Strengths
· People and relatives were highly positive about the kind, caring attitude of staff and management, with strong relationships developed through consistent staffing.
· Safer recruitment procedures were followed including DBS checks, references and risk assessments.
· Staff completed induction, Care Certificate-focused training, and received regular supervision.
· The provider was flexible in scheduling care visits around people's individual needs.
· Regular spot checks, telephone monitoring, and audits (IPC, PPE, staff files, daily logs) were in place to monitor quality.
Quality-Statement breakdown (24)
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuseGood
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: 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 to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Continuous learning and improving careGood
well-led: Working in partnership with othersGood
well-led: How the provider understands and acts on the duty of candourGood