First inspection of this small domiciliary care agency rated the service Good overall, with Effective rated Requires Improvement due to the registered manager delivering staff training without evidence of being qualified to do so. Safeguarding, recruitment, person-centred care planning and governance were all found to be working well.
Concerns (2)
moderate
Staff training
: “Staff had not been trained effectively to ensure they could perform their roles effectively.”
moderateStaff competency: “we did not see evidence that the registered manager was qualified to deliver on each area that training was delivered to staff.”
Strengths
· Risk assessments completed in detail including for specific health conditions such as mental health, substance misuse and seizures
· Pre-employment checks (DBS, references, ID) carried out to ensure staff suitability
· Systems in place to minimise risks of late or missed calls, with rotas sent in advance and bank staff available
· Staff trained in safeguarding and able to articulate how to recognise and report abuse
· Person-centred care plans reviewed regularly with people and relatives involved
Quality-Statement breakdown (22)
safe: Assessing risk, safety monitoring and managementNot rated
safe: Using medicines safelyNot rated
safe: Staffing and recruitmentNot rated
safe: Learning lessons when things go wrongNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Preventing and controlling infectionNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Supporting people to live healthier lives, access healthcare services and supportNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; 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 requirementsNot rated
well-led: Engaging and involving people using the service, the public and staff; Continuous learning and improving careNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Working in partnership with othersNot rated