Carmark (Harrow) achieved a Good rating across all five key questions at this February 2017 inspection, having successfully remediated two prior regulatory breaches relating to medication records and governance. The service demonstrated safe recruitment, effective training and supervision, person-centred care, and robust quality assurance systems, with high satisfaction reported by people and their relatives.
Concerns (1)
minor
Record keeping
: “We noted that the condition of people's skin was not always documented. The registered manager agreed that this would be done in the future.”
Strengths
· Previous breaches of Regulation 12 (medication) and Regulation 17 (governance) were fully remediated with no gaps found in MAR charts at re-inspection.
· Care workers carefully recruited with full pre-employment checks including DBS, identity, right-to-work, and two references.
· 24 care workers had completed the Care Certificate; comprehensive induction programme in place.
· Regular supervision and annual appraisals conducted and evidenced in staff records.
· People matched with care workers sharing language, background, and interests, supporting person-centred and culturally competent care.
Carers for You Limited (Caremark Harrow) achieved a Good rating across all five key questions at this July 2019 inspection of its domiciliary care service supporting approximately 55 people. The service demonstrated consistent person-centred care, safe medicines management, robust staff recruitment and training, and effective quality assurance, with no areas of concern identified.
Strengths
· People and relatives consistently reported feeling safe and satisfied with care provided by well-trained staff
· Robust medicines management with monthly MAR audits and no unexplained gaps identified in six charts reviewed
· Safe recruitment practices with DBS checks, references, identity and right-to-work verification in place
· Regular supervision, annual appraisals and spot checks ensured staff competency and performance
· Person-centred care with cultural and language matching of staff to people, including Gujarati and Hindi speakers
Quality-Statement breakdown (24)
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: Supporting people to live healthier lives, access healthcare services and supportGood
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 meet people's needs, preferences, interests and give them choice and controlGood
responsive: Meeting people's communication needsGood
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: Planning and promoting person-centred, high-quality care and support with opennessGood
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 staff, fully considering their equality characteristicsGood
well-led: Continuous learning and improving careGood