My Homecare Manchester achieved a Good rating across all five key questions at its December 2023 inspection, demonstrating safe, person-centred care with effective partnership working and a supportive, open leadership culture. Areas requiring development included the absence of formal mental capacity assessments, gaps in catheter care training, unrecorded care plan audits, and care plans lacking end-of-life wishes, though the registered manager responded promptly to all issues raised.
Concerns (7)
moderateConsent / capacity: “the provider had no specific mental capacity assessments in place.”
moderateStaff competency: “some people told us not all staff were confident in managing their catheter needs.”
moderateGovernance: “although care plans were checked regularly, the audits were not recorded, and, although action was taken if follow up work was required, this was also not recorded.”
minorRecord keeping: “staff were not recording the administration of prescribed creams for 1 person on a medication administration record (MAR).”
minorCultural competency: “some people told us staff were not always respectful as they spoke in their mother tongue with each other whilst delivering care.”
minorComplaints handling: “some people told us when complaints are made on the phone, they are not always dealt with.”
minorEnd-of-life care: “Care plans did not contain people's end of life wishes.”
Strengths
· People felt safe and staff were trusted to keep them safe, with robust safeguarding training in place.
· Recruitment checks were robust and an electronic system ensured appropriate staffing levels and rota coverage.
· Medicines were managed safely overall, with staff trained and competency-checked in medicines administration.
· Care plans were person-centred, detailed and regularly reviewed, reflecting people's individual needs and preferences.
· Staff were kind, caring and knew people well, respecting their dignity, privacy and independence.
Quality-Statement breakdown (20)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
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 standards, guidance and the lawGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
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 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: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: How the provider understands and acts on the duty of candour; Working in partnership with othersGood
well-led: Engaging and involving people using the service, the public and staffGood