Caredom Healthcare received an overall Good rating on its first CQC inspection, with four of five key questions rated Good and strong feedback from people and relatives about caring, flexible staff. The sole Requires Improvement rating in Effective was driven by consent records signed by someone without legal authority and the absence of health passports, both of which the registered manager began addressing during the inspection.
Concerns (2)
moderate
Consent / capacity
: “We found some records for consent had been signed by a person who did not have the legal authority to do so.”
minorRecord keeping: “People did not have health passports completed. A health passport can be used by health and social care professionals to support them in the way they needed.”
Strengths
· Staff were recruited safely with pre-employment checks including DBS checks completed.
· Care plans were person centred and detailed with people's needs, wishes and preferences.
· People and relatives consistently praised staff as kind, friendly, brilliant and flexible.
· Staff received regular supervisions, monthly meetings and adequate training including manual handling, dignity, IPC and dementia.
· Risk assessments were in place with mitigating strategies and staff understood safeguarding procedures.
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Ensuring consent to care and treatment in line with law and guidanceRequires improvement
effective: Staff working with other agencies; Supporting people to live healthier lives and access healthcareRequires improvement
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; Working in partnership with othersGood