Pure Life Homecare improved from Requires Improvement to Good across all four inspected key questions, with previous breaches of Regulations 12 and 17 resolved. Risk management, governance, training, MCA compliance and communication had all been strengthened under the newly registered manager.
Strengths
· Risks to people were assessed, monitored and recorded with clear guidance for staff
· Safe recruitment practices including DBS checks, references and full employment histories
· Sufficient staffing with consistent care teams; people reported no missed calls
· Medicines managed safely with staff competency assessed and regular audits
· Staff received comprehensive training including specialist areas (PEG, dementia, end of life, stoma, catheter care)
Quality-Statement breakdown (20)
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Staff support: induction, training, skills and experienceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies; supporting people to access healthcare servicesGood
responsive: Meeting people's communication needsGood
responsive: End of life care and supportGood
responsive: Planning personalised care to meet people's needs, preferences, interestsGood
responsive: Improving care quality in response to complaints or concernsGood
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: Duty of candour and continuous learning and improving careGood
well-led: Engaging and involving people using the service, the public and staffGood