First inspection of this small domiciliary care agency rated Good overall and across all five key questions. A recommendation was made for the provider to strengthen medicines auditing systems, with no breaches identified.
Concerns (2)
minorMedication management: “Medicines audits were in place and being regularly carried out. However, we found the audits were not robust in identifying were there had been gaps in record keeping or following these up.”
minorGovernance: “We recommend the provider strengthens their systems around auditing and ensures they are embedded into practice.”
Strengths
· People received medicines on time and as prescribed
· Safe recruitment procedures including DBS checks and references
· Staff trained in safeguarding and aware of how to report concerns
· Continuity of care team maintained; no concerns about missed or late calls
· Adequate PPE and infection control training in place
Quality-Statement breakdown (19)
safe: Using medicines safelyNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongNot rated
safe: Staffing and recruitmentNot rated
safe: Preventing and controlling infectionNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Supporting people to live healthier lives, access healthcare services and support; Supporting people to eat and drink enoughNot 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 control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot 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 requirements; Continuous learning and improving careNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empowering; Duty of candourNot rated
well-led: Engaging and involving people using the service, the public and staff; Working in partnership with othersNot rated