ELR Homecare Ltd improved across all five key questions from a previous inadequate rating and was removed from special measures, achieving Good overall. Previous breaches of regulations 12, 17, 18 and 19 had been addressed through improved risk assessments, recruitment, training and governance.
Strengths
· Improvements made since previous inadequate rating; service removed from special measures
· Detailed and up-to-date risk assessments with clear guidance for staff on equipment, mobility and pressure care
· Robust recruitment and selection procedures with all pre-employment checks completed
· Medicines administered by trained and competent staff, with monthly medication record checks and thorough investigation of errors
· Staff completed safeguarding training and made appropriate referrals when required
Quality-Statement breakdown (22)
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
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
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: Ensuring consent to care and treatment in line with law and guidanceGood
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: Staff working with other agencies to provide consistent, effective, timely careGood
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
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: Promoting a positive culture that is person-centred, open, inclusive and empowering, which achieves good outcomes for peopleGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staff, fully considering their equality characteristicsGood