First inspection of Amersham House, a domiciliary care and supported living service, rated Good overall and across all five key questions. Minor issues were noted around detail in risk assessments, PRN medicines protocols, capacity documentation and care plan specificity, all of which the registered manager agreed to address.
Concerns (4)
minor
Care planning
: “for some risks there was not always enough detail in risk assessments to ensure staff understood how to minimise known risks”
minorMedication management: “Where people received 'as needed' medicines there were no protocols to explain to staff when to administer these medicines”
minorConsent / capacity: “Care plans did not document people's capacity and whether they needed help with certain decisions”
minorPerson-centred care: “care plans did not always document how things would be achieved. There were overarching statements such as 'keeping busy and occupying my time with positive activities'”
Strengths
· Kind, caring and supportive staff with warm interactions observed
· Robust induction, training and supervision including the Care Certificate
· Safe recruitment with DBS, references and identity checks
· Medicines administered safely and on time with monthly audits
· Person-centred culture with people involved as partners in their care
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot 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 healthcareNot 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: Supporting people to develop and maintain relationships and follow interestsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Continuous learning and improving care; duty of candourNot 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 staffNot rated