First inspection of a small Dagenham-based domiciliary care agency supporting two people, rated Good across all five key questions with no breaches identified. Inspectors found safe, effective, person-centred care underpinned by trained staff, sound recruitment, reliable timekeeping and monthly quality assurance audits.
Strengths
· Risk assessments completed for individual circumstances and health conditions including epilepsy and dementia
· Robust pre-employment checks including DBS, references and right to work verification
· Systems in place to monitor staff timekeeping with rotas sent in advance and bank staff available; relative reported 'Timing is perfect. There has been no missed visits.'
· Staff trained in safeguarding and understood reporting procedures
· Infection control training and access to PPE confirmed by relatives
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