PnS Domiciliary Services improved from Requires Improvement to Good overall, having successfully remediated a previous breach of Regulation 12 relating to medicines management. All five key questions were rated Good, with inspectors finding a well-led, person-centred service supported by robust governance, consistent staffing, and strong multi-agency relationships.
Strengths
· Medicines management improved since previous inspection; no longer in breach of Regulation 12, with regular competency checks and use of NICE guidance.
· Sufficient staffing levels maintained with continuous recruitment; all planned care visits completed.
· People received personalised, dignified care with consistent care workers, fostering trust and familiarity.
· Strong multi-agency working with community nurses, occupational therapists, and commissioners confirmed by social care professionals.
· Robust quality monitoring via spot checks, satisfaction questionnaires, and management-led care visits.
Quality-Statement breakdown (24)
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
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: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
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: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving careGood