First inspection of 266 High Road domiciliary care service rated Good overall and across all five key questions. Minor issues identified around grouped MAR recording (corrected immediately) and inconsistent recording of supervision, with a recommendation made about formal supervision documentation.
Concerns (3)
moderate
Medication management
: “Medicines records (MAR) showed the service was not recording the person's medicines individually but instead recording a group of medicines as one administration.”
minorSupervision / appraisal: “notes of supervision discussions were not always recorded. We recommend that the service seeks advice and guidance from a reputable source about providing written documentation in regard to supervision.”
minorRecord keeping: “We found supervision recording was not always consistent. We have made a recommendation about recording formal supervision.”
Strengths
· People and a relative reported feeling safe and that staff were punctual and not rushed
· Safe recruitment procedures including DBS checks and employment gap analysis
· Staff trained in safeguarding and knew how to report concerns and whistle blow
· Adequate PPE supply and staff trained in infection control; staff double vaccinated
· Person-centred care plans respecting cultural, religious and LGBT needs
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Using medicines safelyNot rated
safe: Staffing and recruitmentNot 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 needs and preferencesNot rated
responsive: Meeting people's communication needsNot 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 culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Managers and staff being clear about their roles; understanding quality performance, risks and regulatory requirements; duty of candourNot rated
well-led: Engaging and involving people, public and staff; continuous learning; working in partnership with othersNot rated