Mellowcare Ltd, a small domiciliary care agency in Derby supporting 14 people, improved from Requires Improvement to Good across all five key questions at this May 2022 inspection. Inspectors found safe medicines management, consistent staffing, person-centred care and improved governance, with only minor gaps such as incomplete advance decision care plans.
Concerns (2)
minor
End-of-life care
: “We could see that there were advance decision care plans in people's files although not all of them were completed.”
minorCare planning: “The manager had reviewed all of the documents and was in the process of updating care plans and risk assessments.”
Strengths
· Medicines were managed safely, with staff trained and competency assessed
· People supported by a regular team of punctual care staff
· Comprehensive risk assessments attached to care plans
· Safe recruitment with DBS, references and identity checks
· Staff trained in safeguarding and confident to report concerns
Quality-Statement breakdown (22)
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; access healthcare servicesNot 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 controlNot rated
responsive: Meeting people's communication needsNot rated
responsive: Supporting people to develop and maintain relationships and follow interestsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
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 requirementsNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Promoting a positive culture; engaging and involving people, public and staffNot rated
well-led: Continuous learning and improving care; Working in partnership with othersNot rated