4passioncare is a small domiciliary care agency rated overall Good at its first inspection, with staff praised for their kindness, dignity and person-centred approach. The Safe domain requires improvement due to incomplete risk assessments and gaps in staff awareness of safeguarding procedures.
Concerns (3)
moderate
Care planning
: “Risk assessments were not always in place for foreseeable risks. Not all risk assessments contained the information staff needed to prevent harm occurring.”
moderateSafeguarding: “Not all staff were fully aware of the procedure to follow if they suspected someone may have been harmed.”
moderateCare planning: “One risk assessment regarding skin integrity did not take into consideration that the person was spending the majority of their time in bed and how this could increase their risk of pressure ulcers.”
Strengths
· Effective recruitment procedures ensured suitable staff were employed
· Staff were kind, caring and respected people's privacy and dignity
· People and relatives were involved in decisions about care and support
· Staff received training, supervision and support to perform their roles effectively
· Medicines administration records were regularly monitored and staff were assessed as competent before administering medicines
Quality-Statement breakdown (20)
safe: Systems and processes to safeguard people from the risk of abuseRequires improvement
safe: Assessing risk, safety monitoring and managementRequires improvement
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; staff working with other agencies; supporting people to live healthier livesGood
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 supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
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 staff; Working in partnership with othersGood