First inspection of newly registered domiciliary care service rated Good across all five key questions, with people reporting safe, kind, person-centred care from well-trained staff. Minor concerns around detail in some risk assessments (e.g. catheter care) were addressed immediately by the registered manager after the inspection.
Concerns (2)
minor
Care planning
: “risks related to people's specific health care needs were known by staff but not always reflected clearly in some people's care records”
minorRecord keeping: “Their care records did not give staff sufficient information about what would indicate that there was an issue with the persons catheter.”
Strengths
· People and relatives spoke positively about staff being friendly, kind and compassionate
· Sufficient staffing with safe recruitment procedures followed
· Staff appropriately trained and skilled, supported through regular supervision and appraisals
· Person-centred care with detailed care plans reflecting preferences and life stories
· Effective quality assurance systems including spot checks and audits
Quality-Statement breakdown (23)
safe: Assessing risk, safety monitoring and managementNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot 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 healthcare servicesNot 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 cultureNot rated
well-led: Managers and staff being clear about their roles; continuous learning and improving careNot rated
well-led: Duty of candourNot rated
well-led: Engaging and involving people, the public and staffNot rated
well-led: Working in partnership with othersNot rated