CN Healthcare Limited provides personal care to people living in their own home. At the time of our assessment 37 people were receiving a service. People received safe care which met their needs. Staff assessed people’s needs to identify how they needed and wanted to be supported. This included identifying any risks to their safety and how to minimise those risks. Processes were in place for the safe management of medicines and records were maintained of medicines administered. Body maps were used to record the administration of medicines, such as pain relief patches and topical creams. People felt involved in the development of their care and support plans. These plans identified people’s support needs and how this support was to be delivered. However, we found that some records did not contain sufficient information about all of people’s needs and preferences, such as in relation to their cultural heritage. Staff were aware of people’s preferences and, where possible, people were supported by staff of the same cultural heritage or who spoke the same language. The registered manager told us they would ensure that staff’s knowledge of people’s preferences was captured in people’s care records to ensure people received a holistic service.
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CN Healthcare Limited, a domiciliary care agency supporting 23 people, was rated Good across all five key questions with no breaches identified. Inspectors found safe, effective, caring, responsive and well-led care underpinned by robust recruitment, training, medicines management, infection control and quality assurance systems.
Strengths
· People and relatives reported feeling safe and protected from abuse, with staff trained in safeguarding procedures.
· Safe medicines administration with appropriate training, MAR audits and clear guidance for staff.
· Robust recruitment checks including references, identity checks and DBS checks before staff started work.
· Comprehensive 12-week induction and ongoing training including the Care Certificate, with regular supervision.
· Strong infection control practices including PPE use, Covid-19 testing access and regular checks by the registered manager.
Quality-Statement breakdown (23)
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: 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 ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
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 requirements; Continuous learning and improving careGood
well-led: Engaging and involving people using the service, the public and staffGood