Focused inspection of a small domiciliary care service supporting three people in a retirement complex found improvements had been made and the provider was no longer in breach of regulations 15, 17 and 18. Overall rating improved from requires improvement to good, with both safe and well-led rated good.
Concerns (2)
minorRecord keeping: “We found a few queries with evidence of conduct and verification of reasons for leaving which we discussed with the registered manager who addressed them promptly.”
minorMedication management: “We only found one gap with missing signature and the registered manager addressed this promptly.”
Strengths
· Registered manager had clear oversight, used audits, spot checks, observations and feedback to monitor and improve quality
· Staff trained in handling medicines with competency assessments and spot checks
· Strong safeguarding awareness among staff and registered manager
· Robust recruitment procedures and rolling rota ensuring continuity of care
· Positive, person-centred culture with approachable, visible registered manager
Quality-Statement breakdown (11)
safe: Using medicines safelyNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Engaging and involving people using the service, the public and staff; Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated