Your Care, a domiciliary care agency supporting 27 people, was rated Good overall at its first inspection, with Requires Improvement in well-led due to care plans lacking sufficient detail on healthcare conditions. Staff were caring, well-trained, and safely managed medicines and safeguarding, with the registered manager addressing identified shortfalls following inspection.
Concerns (3)
moderate
Care planning
: “Care plans did not always have the level of detail needed to inform staff on how best to support people.”
moderateRecord keeping: “there was no risk assessment to inform staff what to do if they had concerns about a person's catheter.”
moderateGovernance: “the service management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.”
Strengths
· Sufficient staffing levels with no missed calls since service started
· Safe medicines management with regular audits
· Strong safeguarding awareness and training among staff
· Person-centred, kind and compassionate care delivery
· Effective partnership working with healthcare professionals
Quality-Statement breakdown (23)
safe: Assessing risk, safety monitoring and managementNot rated
safe: Learning lessons when things go wrongNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Preventing and controlling infectionNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support, training, skills and experienceNot 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; 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 careNot 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 empoweringNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Working in partnership with othersNot rated