First inspection of Seccare+, a small domiciliary care service, rated Good across all five key questions. Minor recommendations were made around documenting end of life wishes, strengthening medicines oversight recording, and developing audit systems.
Concerns (3)
minorEnd-of-life care
: “The service was not currently providing end of life care to anyone. There was no information in peoples care plans about their wishes and preferences.”
minorRecord keeping: “The provider had good oversight of medicines administration, however the recording of this oversight was not robust enough.”
minorGovernance: “as this was a new provider, their systems for auditing were in their infancy. There were some audits in place to check recruitment processes and care plan updates.”
Strengths
· People received safe care from safely recruited, well trained staff
· Staff knew how to keep people safe from abuse and used PPE for infection control
· Kind and caring staff who knew the people they cared for
· People and relatives involved in care planning and reviews
· Approachable and proactive provider with good oversight of the service
Quality-Statement breakdown (25)
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: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choicesNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enoughNot rated
effective: Staff working with other agencies and supporting access to healthcareNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisionsNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised careNot rated
responsive: Meeting people's communication needsNot rated
responsive: Supporting relationships and avoiding social isolationNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive, person-centred cultureNot rated
well-led: Duty of CandourNot rated
well-led: Managers and staff being clear about their roles and quality/riskNot rated
well-led: Engaging and involving people, public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated