Focused inspection of Siete Care Services, a small domiciliary care agency, found improvements since the previous Requires Improvement rating, with the Regulation 17 breach now resolved. Both Safe and Well-led were rated Good, lifting the overall rating to Good, though recruitment difficulties and occasional late visits were noted.
Concerns (2)
minorStaffing levels: “It has become difficult to recruit new staff, with the pandemic situation we are having work to harder to cover visits. It is worrying but we are managing at the moment.”
minorMissed or late visits: “People told us staff had been punctual but lately visits were sometimes late.”
Strengths
· Medicines administered safely by trained, competent staff with regular competency assessments
· People and relatives reported feeling safe; staff trained to recognise and report abuse
· Robust risk assessments and risk management plans in place (e.g. pressure damage, falls, allergies)
· Safe recruitment practices including DBS, identity and work history checks
· Effective infection control with PPE provision and COVID-19 measures
Quality-Statement breakdown (12)
safe: Using medicines safelyNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated