The Willows Domiciliary Care Ltd was rated Good across all five key questions at its first inspection, with strong person-centred care, safe medicines management, and a positive culture. Minor issues included some missed eMAR signatures (already addressed) and staff requesting more practical training following COVID-19 online delivery.
Concerns (2)
minor
Record keeping
: “although medicines had been administered, some staff had not appropriately signed the electronic medicines record (eMAR) to record this”
minorStaff training: “Some staff felt they would benefit from additional practical training in medicines administration and moving and handling, as courses had largely been delivered online during the COVID-19 pandemic.”
Strengths
· Robust safeguarding processes with staff confident in reporting concerns
· Person-centred, detailed care plans with regular reviews involving people and relatives
· Safe medicines management with electronic eMAR system and weekly audits
· Strong infection prevention and control practices
· Robust induction, shadow shifts, and regular spot checks/competency assessments
Quality-Statement breakdown (23)
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: Using medicines safelyNot 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 to maintain a balanced dietNot rated
effective: Staff working with other agencies; supporting people to access healthcareNot 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: Promoting a positive, person-centred culture and duty of candourNot rated
well-led: Managers and staff being clear about their roles and regulatory requirementsNot rated
well-led: Engaging and involving people, the public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated