First inspection of Axis Healthcare Ltd, a small domiciliary care agency supporting two people, rated Good overall and across all five key questions. Inspectors found safe, effective, person-centred care underpinned by trained staff, robust risk and quality assurance systems, and an open, approachable registered manager.
Strengths
· Robust safeguarding systems with trained staff who knew how to report abuse
· Risk assessments regularly reviewed with clear instructions to staff
· Safe recruitment practices including DBS and reference checks
· Comprehensive induction and ongoing training programme with shadowing
· Consistent supervision and appraisal system in place
Quality-Statement breakdown (21)
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; supporting people to access healthcareGood
effective: Ensuring consent to care and treatment in line with law and guidance (MCA)Good
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 controlGood
responsive: Meeting people's communication needs (Accessible Information Standard)Good
responsive: Improving care quality in response to complaints or concerns; End of life care and supportGood
well-led: Promoting a positive, person-centred, open and inclusive cultureGood
well-led: Managers and staff clear about roles; quality, risk and regulatory requirements; duty of candourGood
well-led: Engaging and involving people, the public and staffGood
well-led: Continuous learning and improving care; working in partnership with othersGood