First inspection of a small domiciliary care agency supporting one person at the time, rated Good across all five key questions. The service delivered safe, person-centred care with skilled staff, effective governance and active engagement with best-practice forums.
Strengths
· Safe recruitment practices including references, identity checks, right-to-work and DBS checks
· Regular risk assessments and management plans reviewed to reflect current needs
· Staff trained in safeguarding with regular refresher training
· Consistent staffing reported by the person using the service
· Staff knowledgeable and supported by the registered manager, with accessible communication
Quality-Statement breakdown (22)
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 choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies; supporting people to access 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 decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needsNot rated
responsive: Meeting people's communication needsNot rated
responsive: Supporting people to develop and maintain relationships and follow interestsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Managers and staff clear about roles, quality performance, risks, regulatory requirements and duty of candourNot rated
well-led: Promoting a positive, person-centred, open and inclusive culture; engaging people and staffNot rated
well-led: Continuous learning and improving care; working in partnership with othersNot rated