Kinder Home Care Services retained its Good rating across all five key questions at its October 2023 inspection, demonstrating personalised, person-centred care with strong safeguarding, medicines management and responsive leadership. Minor gaps in staff training (learning disability, end-of-life), overdue care reviews, and incident oversight were identified but promptly addressed by the registered manager during the inspection.
Concerns (6)
moderate
Care planning
: “Some people's care reviews had not taken place as planned and some staff had not completed training in learning disability and end of life care.”
minorIncident learning: “We discussed with the management team the need to strengthen the oversight of these incidents and accidents.”
minorStaff training: “Training in learning disability and autism was limited, however, after raising this the management team arranged additional training.”
minorEnd-of-life care: “Training in end of life was limited, however, after raising this the management team arranged additional training.”
minorCommunication with families: “They don't let us know if they're running late”
minorGovernance: “A sample of care rotas showed there was no travel times between visits. The deputy manager addressed this immediately.”
Strengths
· Personalised and comprehensive care plans covering individual needs, preferences, routines and goals.
· People felt safe and staff were knowledgeable about individuals' health conditions and risk management.
· Consistent staffing enabling people to build relationships with familiar carers.
· Positive culture with open, person-centred leadership responsive to feedback.
· Effective collaboration with health, social care professionals and local authority commissioners.
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 requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; working in partnership with othersGood