Guardian Homecare (Lighthouse View) was rated Good overall at its first inspection, with Good ratings across all five key questions. A recommendation was made about strengthening accident and incident reporting after two incidents were not recorded correctly.
Concerns (2)
minorIncident learning
: “We found two incidents which staff had not reported and recorded correctly, in line with the provider's policy and procedure. The management team were unaware of the incidents until we alerted them”
minorRecord keeping: “We recommend the provider reviews their systems and staff training in relation to accident and incident reporting, and ensure staff understand their responsibilities in relation to reporting and recording”
Strengths
· People felt safe and were protected against the risk of abuse
· Consistent team of staff who knew people well; staff recruited safely and sufficient numbers
· Medicines administered safely with trained, competence-assessed staff and regular audits
· Robust infection prevention and control procedures, including effective PPE use during COVID-19
· Thorough needs assessments and person-centred care planning
Quality-Statement breakdown (22)
safe: Learning lessons when things go wrongNot rated
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
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: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot 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 diversity; privacy, dignity and independenceNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot 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 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: Managers and staff being clear about their roles; understanding quality performance, risks and regulatory requirements; continuous learningNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Working in partnership with othersNot rated