safe:Insufficient evidence to rateeffective:Insufficient evidence to ratecaring:Insufficient evidence to rateresponsive:Insufficient evidence to ratewell-led:Insufficient evidence to rate
First inspection of Shilo, a small domiciliary care agency supporting one person, found positive feedback and appropriate policies, recruitment, training and safeguarding systems in place. CQC was unable to rate any key question due to insufficient evidence given the very small service size.
Concerns (3)
minorGovernance: “they had not yet implemented their feedback questionnaires that were intended to check and audit the work undertaken at the service.”
minorEnd-of-life care: “they were not providing end of life care for anyone at present. However, they said they were developing an appropriate policy and procedure to put in place for when this became necessary.”
minorIncident learning: “there had been no accidents or incidents reported to date. They said they were implementing a system to review any that arose so they could improve policies and practices where necessary.”
Strengths
· Appropriate safeguarding processes in place with comprehensive risk assessments for people and staff
· Robust recruitment procedures including DBS, identity checks and references
· Staff received comprehensive induction, annual refresher training and regular one-to-one supervision plus spot checks
· Care plans were personalised with detail about preferences, history, likes and dislikes
· Person reported staff were kind, polite, punctual and respected their privacy and dignity
Quality-Statement breakdown (20)
safe: Systems and processes to safeguard people from the risk of abuseInsufficient evidence to rate
safe: Assessing risk, safety monitoring and managementInsufficient evidence to rate
safe: Staffing and recruitmentInsufficient evidence to rate
safe: Using medicines safelyInsufficient evidence to rate
safe: Preventing and controlling infectionInsufficient evidence to rate
safe: Learning lessons when things go wrongInsufficient evidence to rate
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawInsufficient evidence to rate
effective: Staff support: induction, training, skills and experienceInsufficient evidence to rate
effective: Supporting people to eat and drink enough to maintain a balanced dietInsufficient evidence to rate
effective: Supporting people to live healthier lives, access healthcare services and supportInsufficient evidence to rate
effective: Ensuring consent to care and treatment in line with law and guidanceInsufficient evidence to rate
caring: Ensuring people are well treated and supported; respecting equality and diversityInsufficient evidence to rate
caring: Respecting and promoting people's privacy, dignity and independenceInsufficient evidence to rate
responsive: Planning personalised care to meet people's needs, preferences, interests and give them choice and controlInsufficient evidence to rate
responsive: Improving care quality in response to complaints or concernsInsufficient evidence to rate
responsive: End of life care and supportInsufficient evidence to rate
well-led: Planning and promoting person-centred, high-quality care and support with openness; duty of candourInsufficient evidence to rate
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsInsufficient evidence to rate
well-led: Engaging and involving people using the service, the public and staffInsufficient evidence to rate
well-led: Continuous learning and improving careInsufficient evidence to rate