Monahen Care, a small domiciliary care agency supporting four people, was rated Good across all five key questions at its first inspection. Minor areas for development included reliance on agency staff while recruiting and the need to formalise the feedback recording system.
Concerns (2)
minorStaffing levels
: “they currently only had one member of care staff and used agency staff to support some of the calls”
minorGovernance: “feedback was, to date, informal and verbally gathered from people and their relatives. However, they realised a formal feedback recording system was needed”
Strengths
· Person-centred care plans with detailed individual risk assessments
· Safe recruitment processes including DBS, reference and identity checks
· Staff trained in safeguarding, MCA, medicines and infection prevention/control
· No missed or late care calls; monitoring system alerts manager if staff late
· Open, transparent leadership with awareness of duty of candour
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuse; assessing riskGood
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: Assessing people's needs and choices; delivering care in line with standardsGood
effective: Staff work with other agencies; supporting access to healthcareGood
effective: Staff support: induction, training, skills and experienceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express views; respecting privacy, dignity and independenceGood
responsive: Planning personalised care to ensure choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationshipsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Promoting a positive, person-centred cultureGood
well-led: Managers and staff clear about roles, quality, risks and regulatory requirementsGood
well-led: Duty of candour and transparencyGood
well-led: Engaging and involving people, public and staffGood