Remaj Care, a small domiciliary care agency, was rated Good overall at its first inspection in June 2022, with safe, effective, caring and responsive domains all Good. Well-led was rated Requires Improvement due to quality assurance systems not yet being implemented and absence of formal staff supervision and observations of practice.
Concerns (4)
moderate
Governance
: “The provider had systems and processes in place to monitor the quality and safety of the service and drive improvements however these had not been implemented.”
moderateSupervision / appraisal: “no formal one to one supervision with staff had been recorded. Furthermore, no formal observation of staff practice had been undertaken by the registered manager.”
minorCare planning: “aspects of the care plan lacked meaningful information and guidance about the person's preferences and routines.”
minorRecord keeping: “not all risks associated with the person's care and support and health conditions had been formally assessed and recorded.”
Strengths
· People were kept safe from abuse and harm; staff received safeguarding training and knew how to report concerns.
· No late or missed care call visits; relative confirmed staff were always on time and kind.
· Staff knew the person well and provided kind, compassionate care; relative said they would definitely recommend the service.
· People and relatives were involved in care planning and felt their views were respected.
· Staff felt valued and well supported by the registered manager, describing them as approachable and caring.
Quality-Statement breakdown (24)
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: Staff working with other agencies to provide consistent, effective, timely careGood
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: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
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: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; Working in partnership with othersGood